Organization
EDGEWATER SYSTEMS FOR BALANCED LIVING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANITA JOHNSON-WOODS (CEO)
(219) 885-4264
Entity
Organization
Contact information
Practice address
900 GERRY ST,, GARY, IN 46406
(844) 433-4392
(219) 888-9867
Mailing address
1100 W 6TH AVE, GARY, IN 46402-1711
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
12/17/2025
Last updated
12/17/2025
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