Edgewater Systems for Balanced Living, INC

NPI #1366043457 in Griffith, Indiana

Provider Information

NPI Number
1366043457
Entity Type
Organization
Organization Name
Edgewater Systems for Balanced Living, INC
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Nov 4, 2020
Last Updated
Nov 4, 2020

Practice Location

Address
1212 N BROAD ST
State
Indiana
ZIP Code
46319-1534
Phone
(219) 838-1270

Authorized Official

Name
DANITA JOHNSON HUGHES
Title
CEO
Phone
(219) 885-4264

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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