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Organization
FAMILY SERVICE ASSOCIATION OF THE WABASH VALLEY
Active
Organization
FAMILY SERVICE ASSOCIATION OF THE WABASH VALLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELEA BOATMAN (OFFICE MANAGER)
(812) 232-4349
Entity
Organization
Contact information
Practice address
619 CHERRY ST, TERRE HAUTE, IN 47807-3125
(812) 232-4349
Mailing address
619 CHERRY ST, TERRE HAUTE, IN 47807-3125
(812) 232-4349
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
20042342A
IN
Other
Enumeration date
07/01/2010
Last updated
07/01/2010
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