Organization
SAMARITAN CENTER ON THE RIDGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
J. MARK KILLMER LMFT (EXECUTIVE DIRECTOR)
(219) 923-8110
Entity
Organization
Contact information
Practice address
8955 COLUMBIA AVE, MUNSTER, IN 46321-2903
(219) 923-8110
Mailing address
8955 COLUMBIA AVE, MUNSTER, IN 46321-2903
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
34003134A
IN
Other
Enumeration date
07/20/2006
Last updated
08/22/2020
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