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Organization
ST. JOSEPH HOME FOR BOYS, INC
Active
Organization
ST. JOSEPH HOME FOR BOYS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH M FLANAGAN PH.D (DIOCESAN DIRECTOR)
(219) 931-6451
Entity
Organization
Contact information
Practice address
4007 S SHEFFIELD AVE, HAMMOND, IN 46327-1242
(219) 931-6451
(921) 931-2241
Mailing address
4007 S SHEFFIELD AVE, HAMMOND, IN 46327-1242
(219) 931-6451
(921) 931-2241
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
15840393330242
IN
Other
Enumeration date
04/19/2007
Last updated
08/22/2020
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