Organization
MIDDLE PASSAGE, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARGO OLEVIER SUGGS (ADMINISTRATIVE ASSISTANT)
(219) 949-4747
Entity
Organization
Contact information
Practice address
4747 W 24TH AVE, GARY, IN 46406-2821
(219) 949-4747
(219) 949-4746
Mailing address
4747 W 24TH AVE, GARY, IN 46406-2821
(219) 949-4747
(219) 949-4746
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/14/2007
Last updated
08/22/2020
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