Charism Center, Llc

NPI 1083819957 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1083819957
Enumeration Date 06/19/2007
Last Updated 08/31/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CYNTHIA CYNTHIA
Position MEDICAL DIRECTOR
Phone (574) 753-8000
Fax (574) 753-8003
Practice Location
101 E MARKET ST
LOGANSPORT IN, 46947-3427, US
Phone (574) 753-8000
Fax (574) 753-8003
Business Location
101 E MARKET ST
LOGANSPORT IN, 46947-3427, US
Phone (574) 753-8000
Fax (574) 753-8003
Toxanomy
Taxonomy Code 2084P0800X
License State Indiana
License Number 01057949A
Remove 1083819957 NPI Number
 

According to our database, Charism Center, Llc NPI is 1083819957, taxonomy code is 2084P0800X and license number is 01057949A, license state is located at Indiana. Charism Center, Llc physically located at 101 E Market St, Logansport IN, 46947-3427. NPI Number 1033115704 has the healthcare provider type.

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1083819957 NPI number is provided on an as is basis without warranty of any kind. 1083819957 is maintained by the National Plan & Provider Enumeration System. The contents of Charism Center, Llc are for informational purposes only.