# UHS THE MIDWEST CENTER FOR YOUTH & FAMILIES

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

## Provider details

- **NPI number:** 1649243759
- **Authorized official:** MR. MICHAEL JOHN PERRY (CEO)
- **Authorized official phone:** (219) 766-2999

## Contact information

- **Practice address:** 1012 W. INDIANA ST, KOUTS, IN 46347-9703
- **Practice address phone:** (219) 766-2999
- **Practice address fax:** (219) 766-2704
- **Mailing address:** P.O. BOX 669, 1012 N. INDIANA ST, KOUTS, IN 46347-9703
- **Mailing address phone:** (219) 766-2999
- **Mailing address fax:** (219) 766-2704

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 5180909873540 | IN | — |
| 103TC0700X | Clinical Psychologist | 73540 | IN | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | 73540 | IN | — |
| 103TF0000X | Family Psychologist | 73540 | IN | — |
| 103TP2701X | Group Psychotherapy Psychologist | 73540 | IN | — |
| 2084P0800X | Psychiatry Physician | 73540 | IN | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 5180909873540 | IN | Yes |
| 323P00000X | Psychiatric Residential Treatment Facility | 50266819873831 | IN | — |
| 323P00000X | Psychiatric Residential Treatment Facility | 73540 | IN | — |

## Other

- **Enumeration date:** 02/09/2006
- **Last updated:** 07/03/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200465920A | — | IN |