Organization
CATHOLIC CHARITIES DIOCESE OF GARY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUANE D DEDELOW (EXECUTIVE DIRECTOR)
(219) 886-3549
Entity
Organization
Contact information
Practice address
940 BROADWAY, GARY, IN 46402-2906
(219) 886-3549
(219) 886-2828
Mailing address
940 BROADWAY, GARY, IN 46402-2906
(219) 886-3549
(219) 886-2828
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200980410
—
IN
Enumeration date
12/22/2010
Last updated
10/31/2013
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