| Outpatient Behavioral Health Dyer | |
|
24 Joliet St Dyer IN 46311-1705 | |
| (219) 322-5747 | |
| (219) 864-2599 |
| Full Name | Outpatient Behavioral Health Dyer |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 24 Joliet St, Dyer, Indiana |
| Authorized Official Name and Position | Thomas Gryzbek (PRESIDENT) |
| Authorized Official Contact | 2199322300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Outpatient Behavioral Health Dyer Po Box 1000 Dyer IN 46311-0800 Ph: (219) 864-2107 | Outpatient Behavioral Health Dyer 24 Joliet St Dyer IN 46311-1705 Ph: (219) 322-5747 |
| NPI Number | 1508938408 |
|---|---|
| Provider Enumeration Date | 11/15/2006 |
| Last Update Date | 02/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508938408 | NPI | - | NPPES |
| 100462480C | Medicaid | IN | |
| 90000854 | Other | IL | BCBSIL |
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