EDGEWATER SYSTEMS FOR BALANCED LIVING, INC.
Organization (NPI-2)
Active
Internal Medicine
Provider Information
- NPI Number
1699225698- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 5495 BROADWAY, MERRILLVILLE, IN, 464101647
- Phone
- (219) 884-4900
- Fax
- (219) 980-7585
Specialties & Taxonomies
Counselor, Mental Health
Social Worker, Clinical
Internal Medicine
Primary License: IN #01033511A