Organization
APOSTOLIC YOUTH & FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLIFTON SMITH LCSW (EXECUTIVE DIRECTOR)
(219) 981-4008
Entity
Organization
Contact information
Practice address
4645 BROADWAY, GARY, IN 46409-2461
(219) 981-4008
(219) 981-9273
Mailing address
4645 BROADWAY, GARY, IN 46409-2461
(219) 981-4008
(219) 981-9273
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20042301A
IN
1041C0700X
Clinical Social Worker
34001842A
IN
Other
Enumeration date
07/30/2009
Last updated
07/30/2009
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