| Catholic Charities Diocese Of Gary Inc | |
|
940 Broadway Gary IN 46402-2906 | |
| (219) 886-3549 | |
| (219) 886-2828 |
| Full Name | Catholic Charities Diocese Of Gary Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 940 Broadway, Gary, Indiana |
| Authorized Official Name and Position | Duane D Dedelow (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2198863549 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Catholic Charities Diocese Of Gary Inc 940 Broadway Gary IN 46402-2906 Ph: (219) 886-3549 | Catholic Charities Diocese Of Gary Inc 940 Broadway Gary IN 46402-2906 Ph: (219) 886-3549 |
| NPI Number | 1417251091 |
|---|---|
| Provider Enumeration Date | 12/22/2010 |
| Last Update Date | 10/31/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417251091 | NPI | - | NPPES |
| 200980410 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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