Edgewater Systerms For Balanced Living

LBN: Edgewater Systerms For Balanced Living
Edgewater Systerms For Balanced Living is an health care organization with primary practice located at 1106 West 6 Th Avenue , Gary IN 46402. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Edgewater Systerms For Balanced Living can be contacted via phone (219) 885-4264, or through Buckner, Thomas Michael via phone (219) 885-4264.

Contact Information

Primary practice address
1106 West 6 Th Avenue Gary IN 46402
Phone: (219) 885-4264
Fax: (219) 885-1332
Website:
Map and Directions
Authorized official contact:
Name: Buckner, Thomas Michael MA,NCC
Phone: (219) 885-4264

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1790154417
LBN Legal business name Edgewater Systerms For Balanced Living
DBA Doing business as
Authorized official Buckner, Thomas Michael MA,NCC
Entity Organization
Organization subpart 1 No
Enumeration date Sep 23rd, 2015
Last updated Sep 23rd, 2015 - about 11 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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