# ST. JOSEPH HOME FOR BOYS, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528285897
- **Authorized official:** DR. KENNETH M FLANAGAN PH.D (DIOCESAN DIRECTOR)
- **Authorized official phone:** (219) 931-6451

## Contact information

- **Practice address:** 4007 S SHEFFIELD AVE, HAMMOND, IN 46327-1242
- **Practice address phone:** (219) 931-6451
- **Practice address fax:** (921) 931-2241
- **Mailing address:** 4007 S SHEFFIELD AVE, HAMMOND, IN 46327-1242
- **Mailing address phone:** (219) 931-6451
- **Mailing address fax:** (921) 931-2241

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 15840393330242 | IN | Yes |

## Other

- **Enumeration date:** 04/19/2007
- **Last updated:** 08/22/2020