| Middle Passage, Incorporated | |
|
4747 W 24th Ave Gary IN 46406-2821 | |
| (219) 949-4747 | |
| (219) 949-4746 |
| Full Name | Middle Passage, Incorporated |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4747 W 24th Ave, Gary, Indiana |
| Authorized Official Name and Position | Margo Olevier Suggs (ADMINISTRATIVE ASSISTANT) |
| Authorized Official Contact | 2199494747 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Middle Passage, Incorporated 4747 W 24th Ave Gary IN 46406-2821 Ph: (219) 949-4747 | Middle Passage, Incorporated 4747 W 24th Ave Gary IN 46406-2821 Ph: (219) 949-4747 |
| NPI Number | 1184757320 |
|---|---|
| Provider Enumeration Date | 03/14/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184757320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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