| Family Service Asociation Of The Wabash Valley, Inc. | |
|
1111 Wabash Ave Terre Haute IN 47807-3211 | |
| (812) 232-4349 | |
| (812) 232-2308 |
| Full Name | Family Service Asociation Of The Wabash Valley, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1111 Wabash Ave, Terre Haute, Indiana |
| Authorized Official Name and Position | Janet A Mcbride (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8122324349 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Service Asociation Of The Wabash Valley, Inc. 1111 Wabash Ave Terre Haute IN 47807-3211 Ph: (812) 232-4349 | Family Service Asociation Of The Wabash Valley, Inc. 1111 Wabash Ave Terre Haute IN 47807-3211 Ph: (812) 232-4349 |
| NPI Number | 1811002769 |
|---|---|
| Provider Enumeration Date | 08/20/2006 |
| Last Update Date | 04/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811002769 | NPI | - | NPPES |
| 200232410A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 251V00000X | Voluntary Or Charitable | (* (Not Available)) | Secondary |
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