| Apostolic Youth & Family Services | |
|
4645 Broadway Gary IN 46409-2461 | |
| (219) 981-4008 | |
| (219) 981-9273 |
| Full Name | Apostolic Youth & Family Services |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 4645 Broadway, Gary, Indiana |
| Authorized Official Name and Position | Clifton Smith (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2199814008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Apostolic Youth & Family Services 4645 Broadway Gary IN 46409-2461 Ph: (219) 981-4008 | Apostolic Youth & Family Services 4645 Broadway Gary IN 46409-2461 Ph: (219) 981-4008 |
| NPI Number | 1275764896 |
|---|---|
| Provider Enumeration Date | 07/30/2009 |
| Last Update Date | 07/30/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275764896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 20042301A (Indiana) | Primary |
| 1041C0700X | Social Worker - Clinical | 34001842A (Indiana) | Secondary |
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