| Edgewater Health | |
|
1100 W 6th Ave Gary IN 46402-1711 | |
| (219) 885-4264 | |
| Not Available |
| Full Name | Edgewater Health |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1100 W 6th Ave, Gary, Indiana |
| Authorized Official Name and Position | Pierre Wood (THERAPIST) |
| Authorized Official Contact | 2198854264 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edgewater Health 17 W 144th St Apt 1w Riverdale IL 60827-2883 Ph: () - | Edgewater Health 1100 W 6th Ave Gary IN 46402-1711 Ph: (219) 885-4264 |
| NPI Number | 1477011930 |
|---|---|
| Provider Enumeration Date | 03/04/2019 |
| Last Update Date | 03/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477011930 | NPI | - | NPPES |
| W300-6708-0246 | Other | IL | DRIVER'S LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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