| Raj Clinics Professional Services Corporation | |
|
6 Chase Park Logansport IN 46947-1553 | |
| (574) 732-1166 | |
| (574) 753-4117 |
| Full Name | Raj Clinics Professional Services Corporation |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 6 Chase Park, Logansport, Indiana |
| Authorized Official Name and Position | Sitha Gita Kalapatapu (PRESIDENT) |
| Authorized Official Contact | 5747321166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Raj Clinics Professional Services Corporation 909 Lakeview Dr Logansport IN 46947-2208 Ph: (574) 732-1166 | Raj Clinics Professional Services Corporation 6 Chase Park Logansport IN 46947-1553 Ph: (574) 732-1166 |
| NPI Number | 1174793632 |
|---|---|
| Provider Enumeration Date | 03/11/2008 |
| Last Update Date | 10/16/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174793632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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