Divorce Recovery Center of Northwest Indiana LLC
NPI #1881163806 in Merrillville, Indiana
Provider Information
- NPI Number
- 1881163806
- Entity Type
- Organization
- Organization Name
- Divorce Recovery Center of Northwest Indiana LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Nov 20, 2018
- Last Updated
- Jun 11, 2020
Practice Location
- Address
- 2612 W LINCOLN HWY
- City
- Merrillville
- State
- Indiana
- ZIP Code
- 46410-5235
- Phone
- (219) 484-2143
Authorized Official
- Name
- MRS. ANGELINE RAE SCHULLER, MSW, LCSW
- Title
- OWNER
- Phone
- (219) 484-2143
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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