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Organization

CATHOLIC CHARITIES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SR BARBARA SABLE (INTERIM DIRECTOR)
(219) 663-8417
Entity
Organization

Contact information

Practice address
321 W 11TH ST, MICHIGAN CITY, IN 46360
(219) 879-9312
(219) 879-9073
Mailing address
321 W 11TH ST, MICHIGAN CITY, IN 46360
(219) 879-9312
(219) 879-9073

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1891825394
IN
Enumeration date
06/30/2008
Last updated
06/30/2008
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