| Charism Center, Llc | |
|
101 E Market St Logansport IN 46947-3427 | |
| (574) 753-8000 | |
| (574) 753-8003 |
| Full Name | Charism Center, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 101 E Market St, Logansport, Indiana |
| Authorized Official Name and Position | Cynthia Spellman (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5747538000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charism Center, Llc 101 E Market St Logansport IN 46947-3427 Ph: (574) 753-8000 | Charism Center, Llc 101 E Market St Logansport IN 46947-3427 Ph: (574) 753-8000 |
| NPI Number | 1083819957 |
|---|---|
| Provider Enumeration Date | 06/19/2007 |
| Last Update Date | 08/31/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083819957 | NPI | - | NPPES |
| 000000386275 | Other | IN | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 01057949A (Indiana) | Primary |
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