| Family Service Association Of The Wabash Valley | |
|
619 Cherry St Terre Haute IN 47807-3125 | |
| (812) 232-4349 | |
| Not Available |
| Full Name | Family Service Association Of The Wabash Valley |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 619 Cherry St, Terre Haute, Indiana |
| Authorized Official Name and Position | Angelea Boatman (OFFICE MANAGER) |
| Authorized Official Contact | 8122324349 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Service Association Of The Wabash Valley 619 Cherry St Terre Haute IN 47807-3125 Ph: (812) 232-4349 | Family Service Association Of The Wabash Valley 619 Cherry St Terre Haute IN 47807-3125 Ph: (812) 232-4349 |
| NPI Number | 1548571870 |
|---|---|
| Provider Enumeration Date | 07/01/2010 |
| Last Update Date | 07/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548571870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 20042342A (Indiana) | Primary |
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