Catholic Charities Diocese Of Gary Inc | |
321 E 11th St Michigan City IN 46360-3641 | |
(219) 879-9312 | |
(219) 879-9073 |
Full Name | Catholic Charities Diocese Of Gary Inc |
---|---|
Speciality | Counselor - Mental Health |
Location | 321 E 11th St, Michigan City, Indiana |
Authorized Official Name and Position | Kenneth M. Flanagan (DIOCESAN DIRECTOR) |
Authorized Official Contact | 2196638417 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Catholic Charities Diocese Of Gary Inc 176 S West St Crown Point IN 46307-3906 Ph: (219) 663-8417 | Catholic Charities Diocese Of Gary Inc 321 E 11th St Michigan City IN 46360-3641 Ph: (219) 879-9312 |
NPI Number | 1891825394 |
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Provider Enumeration Date | 03/06/2007 |
Last Update Date | 10/30/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891825394 | NPI | - | NPPES |
200085310 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 56030098 50243 (Indiana) | Primary |
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