Samaritan Center On The Ridge

NPI 1194745059 - Counselor - 101YM0800X

NPI Details
NPI 1194745059
Enumeration Date 07/20/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name J. MARK J.
Position EXECUTIVE DIRECTOR
Phone (219) 923-8110
Fax
Practice Location
8955 COLUMBIA AVE
MUNSTER IN, 46321-2903, US
Phone (219) 923-8110
Fax
Business Location
8955 COLUMBIA AVE
MUNSTER IN, 46321-2903, US
Phone
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State Indiana
License Number 34003134A
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According to our database, Samaritan Center On The Ridge NPI is 1194745059, taxonomy code is 101YM0800X and license number is 34003134A, license state is located at Indiana. Samaritan Center On The Ridge physically located at 8955 Columbia Ave, Munster IN, 46321-2903. NPI Number 1033115704 has the healthcare provider type.

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1194745059 NPI number is provided on an as is basis without warranty of any kind. 1194745059 is maintained by the National Plan & Provider Enumeration System. The contents of Samaritan Center On The Ridge are for informational purposes only.