| Life Mentoring Inc. | |
|
123 Harrington Ave Apt 2b Crown Point IN 46307-3843 | |
| (219) 730-2909 | |
| Not Available |
| Full Name | Life Mentoring Inc. |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 123 Harrington Ave Apt 2b, Crown Point, Indiana |
| Authorized Official Name and Position | Robert James Dutko (CO-PARTNER) |
| Authorized Official Contact | 2197302909 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Mentoring Inc. 123 Harrington Ave Apt 2b Crown Point IN 46307-3843 Ph: (219) 730-2909 | Life Mentoring Inc. 123 Harrington Ave Apt 2b Crown Point IN 46307-3843 Ph: (219) 730-2909 |
| NPI Number | 1235773664 |
|---|---|
| Provider Enumeration Date | 10/29/2019 |
| Last Update Date | 10/29/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235773664 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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