Organization
THE ARC NORTHWEST INDIANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRIS PROHL (EXECUTIVE DIRECTOR)
(219) 884-1138
Entity
Organization
Contact information
Practice address
1441 N WOODLAWN AVE, GRIFFITH, IN 46319-1555
(219) 884-1138
(219) 980-7315
Mailing address
2650 W 35TH AVE, GARY, IN 46408-1416
(219) 884-1138
(219) 980-7315
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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