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Edgewater Systems For Balanced Living, Inc
Substance Abuse Rehabilitation Facility in Gary, Indiana
NPI 1770960536

Edgewater Systems For Balanced Living, Inc is a Substance Abuse Rehabilitation Facility based in Gary, IN. Edgewater Systems For Balanced Living, Inc practices in Gary, IN. The NPI Number for Edgewater Systems For Balanced Living, Inc is 1770960536 and holds a License No. 421-009 (Indiana).

The current practice location address for Edgewater Systems For Balanced Living, Inc is 4747 W 24Th Ave, Gary, IN and can be reached out via phone at 219-977-0110 and via fax at 219-427-1672.

Location: 4747 W 24Th Ave, Gary, IN, 46402-1711
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770960536
Provider Name
Edgewater Systems For Balanced Living, Inc
Credential
Provider Entity Type
Organization
Address
4747 W 24Th Ave, Gary, IN, 46402-1711
Phone Number
219-977-0110
Fax Number
219-427-1672
Provider Enumeration Date
04/30/2015
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300013628 05 IN
institution
Provider Business Practice Location Address Details
Address
4747 W 24Th Ave
City
Gary
State
Indiana
Zip
46406
Phone Number
219-977-0110
Fax Number
219-427-1672
person
Provider Business Mailing Address Details
Address
4747 W 24Th Ave
City
Gary
State
Indiana
Zip
46406
Phone Number
219-977-0110
Fax Number
219-427-1672
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
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Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Hospitals
Classification
Psychiatric Hospital
Speciality
-
Taxonomy
283Q00000X
License No.
()
Definition
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
421-009 (Indiana)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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