Nusource Educational Service | |
4270 Ohio St Gary IN 46409-2006 | |
(219) 980-6217 | |
(219) 985-8772 |
Full Name | Nusource Educational Service |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 4270 Ohio St, Gary, Indiana |
Authorized Official Name and Position | Katherlyn Thedford (CHIEF OF OPERATIONS) |
Authorized Official Contact | 2199806217 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Nusource Educational Service 4270 Ohio St Gary IN 46409-2006 Ph: (219) 980-6217 | Nusource Educational Service 4270 Ohio St Gary IN 46409-2006 Ph: (219) 980-6217 |
NPI Number | 1124108733 |
---|---|
Provider Enumeration Date | 10/17/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124108733 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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