Edgewater Systems For Balanced Living, Inc

LBN: Edgewater Systems For Balanced Living, Inc
Edgewater Systems For Balanced Living, Inc is an health care organization with primary practice located at 1110 W 5Th Ave , Gary IN 46402-1723. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Methadone. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Edgewater Systems For Balanced Living, Inc can be contacted via phone (219) 885-4264, or through Hughes, Danita Johnson via phone (219) 885-4264.

Contact Information

Primary practice address
1110 W 5Th Ave Gary IN 46402-1723
Phone: (219) 885-4264
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hughes, Danita Johnson
Phone: (219) 885-4264

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Methadone 261QM2800X

Profile Details

NPI number 1932732955
LBN Legal business name Edgewater Systems For Balanced Living, Inc
DBA Doing business as
Authorized official Hughes, Danita Johnson
Entity Organization
Organization subpart 1 No
Enumeration date Feb 18th, 2020
Last updated Feb 18th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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