| Count To Ten Holistic Health Center | |
|
5404 W 25th Ave Suite 107 Gary IN 46406-3141 | |
| (219) 989-9759 | |
| (219) 989-9757 |
| Full Name | Count To Ten Holistic Health Center |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 5404 W 25th Ave, Gary, Indiana |
| Authorized Official Name and Position | Timothy Franklyn Gardner (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2199899759 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Count To Ten Holistic Health Center 5404 W 25th Ave Suite 107 Gary IN 46406-3141 Ph: (219) 989-9759 | Count To Ten Holistic Health Center 5404 W 25th Ave Suite 107 Gary IN 46406-3141 Ph: (219) 989-9759 |
| NPI Number | 1740470442 |
|---|---|
| Provider Enumeration Date | 07/28/2007 |
| Last Update Date | 03/31/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740470442 | NPI | - | NPPES |
| M400014630 | Other | IN | MEDICARE IDENTIFICATION NUMBER |
| M100014629 | Other | IN | MEDICARE IDENTIFICATION NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 6600003-01 (Indiana) | Primary |
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