Edgewater Systems for Balanced Living, INC

NPI #1770960536 in Gary, Indiana

Provider Information

NPI Number
1770960536
Entity Type
Organization
Organization Name
Edgewater Systems for Balanced Living, INC
Primary Specialty
Clinic/Center - Rehabilitation, Substance Use Disorder
Enumeration Date
Apr 30, 2015
Last Updated
Jun 16, 2018

Practice Location

Address
4747 W 24TH AVE
City
Gary
State
Indiana
ZIP Code
46406
Phone
(219) 977-0110

Authorized Official

Name
DANITA JOHNSON-HUGHES
Title
CEO
Phone
(219) 881-2466

Specialties & Taxonomy Codes

Specialty
Psychiatric Hospital
Substance Abuse Rehabilitation Facility
Clinic/Center - Rehabilitation, Substance Use DisorderRehabilitation, Substance Use Disorder

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