| Ywca North Central Indiana | |
|
1102 Fellows St South Bend IN 46601-3514 | |
| (574) 233-9491 | |
| (574) 233-9616 |
| Full Name | Ywca North Central Indiana |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1102 Fellows St, South Bend, Indiana |
| Authorized Official Name and Position | Sharon Devinney (HEALTH SERVICE PROVIDER PSYCHOLOGY) |
| Authorized Official Contact | 5742860055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ywca North Central Indiana 1102 S. Fellows St. South Bend IN 46601-3514 Ph: (574) 233-9491 | Ywca North Central Indiana 1102 Fellows St South Bend IN 46601-3514 Ph: (574) 233-9491 |
| NPI Number | 1811365604 |
|---|---|
| Provider Enumeration Date | 09/10/2015 |
| Last Update Date | 09/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811365604 | NPI | - | NPPES |
| 201211530 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Indiana) | Primary |
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