Provisions Educational Network INC
NPI #1427286079 in Merrillville, Indiana
Provider Information
- NPI Number
- 1427286079
- Entity Type
- Organization
- Organization Name
- Provisions Educational Network INC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jun 22, 2009
- Last Updated
- Jun 22, 2009
Practice Location
- Address
- 5201 BROADWAY
- City
- Merrillville
- State
- Indiana
- ZIP Code
- 46410-1595
- Phone
- (219) 980-6100
Authorized Official
- Name
- MS. DEBORAH H BLACK, M.A.
- Title
- CEO
- Phone
- (219) 980-6100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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