| Selah Christian Center Inc | |
|
201 N Roosevelt St Warsaw IN 46580-3849 | |
| (574) 269-3008 | |
| Not Available |
| Full Name | Selah Christian Center Inc |
|---|---|
| Speciality | Psychologist |
| Location | 201 N Roosevelt St, Warsaw, Indiana |
| Authorized Official Name and Position | Talitha Day Fair (PSYCHOLOGIST DIRECTOR) |
| Authorized Official Contact | 5742693008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Selah Christian Center Inc 201 N Roosevelt St Warsaw IN 46580-3849 Ph: (574) 269-3008 | Selah Christian Center Inc 201 N Roosevelt St Warsaw IN 46580-3849 Ph: (574) 269-3008 |
| NPI Number | 1487735502 |
|---|---|
| Provider Enumeration Date | 10/17/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487735502 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 20040491 (Indiana) | Primary |
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