| Carrie Marie Soicial Service Agency | |
|
839 Broadway Suite N107 Gary IN 46402-2414 | |
| (312) 468-5336 | |
| Not Available |
| Full Name | Carrie Marie Soicial Service Agency |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 839 Broadway, Gary, Indiana |
| Authorized Official Name and Position | Darcelmarie Smith (CEO) |
| Authorized Official Contact | 3124685336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carrie Marie Soicial Service Agency 839 Broadway Suite N107 Gary IN 46402-2414 Ph: (312) 468-5336 | Carrie Marie Soicial Service Agency 839 Broadway Suite N107 Gary IN 46402-2414 Ph: (312) 468-5336 |
| NPI Number | 1851848972 |
|---|---|
| Provider Enumeration Date | 09/07/2016 |
| Last Update Date | 09/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851848972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
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