| Edgewater Systems For Balanced Living, Inc | |
|
1100 W 6th Ave Gary IN 46402-1711 | |
| (219) 885-4264 | |
| (219) 882-0242 |
| Full Name | Edgewater Systems For Balanced Living, Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1100 W 6th Ave, Gary, Indiana |
| Authorized Official Name and Position | Danita Johnson-hughes (PRESIDENT AND CEO) |
| Authorized Official Contact | 2198854264 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Edgewater Systems For Balanced Living, Inc 1100 W 6th Ave Gary IN 46402-1711 Ph: (219) 885-4264 | Edgewater Systems For Balanced Living, Inc 1100 W 6th Ave Gary IN 46402-1711 Ph: (219) 885-4264 |
| NPI Number | 1316154917 |
|---|---|
| Provider Enumeration Date | 05/16/2007 |
| Last Update Date | 07/31/2019 |
| Medicare PECOS PAC ID | 9234398397 |
|---|---|
| Medicare Enrollment ID | O20191008002888 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316154917 | NPI | - | NPPES |
| 100273230B | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 100273230 (Indiana) | Primary |
New Beginnings Life Center Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2460 Broadway, Gary, IN 46407 Phone: 219-880-1903 Fax: 219-880-1905 | |
Nusource Educational Service Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4270 Ohio St, Gary, IN 46409 Phone: 219-980-6217 Fax: 219-985-8772 | |
Trinity Faith-based University Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 839 Broadway, Suite 104, Gary, IN 46402 Phone: 219-882-4010 Fax: 219-882-0210 | |
Connect Thru Love Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 430 S Lake St, Gary, IN 46403 Phone: 219-512-2642 | |
Steel City Academy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2650 W 35th Ave, Gary, IN 46408 Phone: 219-750-1010 | |
Inner Connections Counseling & Consulting Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1976 Ohio St, Gary, IN 46407 Phone: 219-882-0283 Fax: 219-882-0283 | |
Selah Academy, Incorporated Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1991 W 39th Ct Fl 2, Gary, IN 46408 Phone: 219-980-7919 |