| Restoration Of Eagles International | |
|
2440 Wilson St Gary IN 46404-3249 | |
| (219) 777-0853 | |
| Not Available |
| Full Name | Restoration Of Eagles International |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2440 Wilson St, Gary, Indiana |
| Authorized Official Name and Position | Zeno Darden (C.E.O.) |
| Authorized Official Contact | 2197770853 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restoration Of Eagles International Po Box 10992 Merrillville IN 46411-0992 Ph: () - | Restoration Of Eagles International 2440 Wilson St Gary IN 46404-3249 Ph: (219) 777-0853 |
| NPI Number | 1386349074 |
|---|---|
| Provider Enumeration Date | 04/03/2023 |
| Last Update Date | 04/03/2023 |
| Certification Date | 04/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386349074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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