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Edgewater Systems For Balanced Living, Inc
Methadone Clinic in Gary, Indiana
NPI 1932732955

Edgewater Systems For Balanced Living, Inc is a Methadone Clinic based in Gary, IN and is specialized in Methadone. Edgewater Systems For Balanced Living, Inc practices in Gary, IN. The NPI Number for Edgewater Systems For Balanced Living, Inc is 1932732955 and holds a License No. (Indiana).

The current practice location address for Edgewater Systems For Balanced Living, Inc is 1110 W 5Th Ave, Gary, IN and can be reached out via phone at 219-885-4264.

Location: 1110 W 5Th Ave, Gary, IN, 46402-1723
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1932732955
Provider Name
Edgewater Systems For Balanced Living, Inc
Credential
Provider Entity Type
Organization
Address
1110 W 5Th Ave, Gary, IN, 46402-1723
Phone Number
219-885-4264
Fax Number
Provider Enumeration Date
02/18/2020
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1110 W 5Th Ave
City
Gary
State
Indiana
Zip
46402-1723
Phone Number
219-885-4264
Fax Number
person
Provider Business Mailing Address Details
Address
1110 W 5Th Ave
City
Gary
State
Indiana
Zip
46402-1723
Phone Number
219-885-4264
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
261QM2800X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
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