Organization
FAMILY SERVICE ASSOCIATION OF THE WABASH VALLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELEA BOATMAN (OFFICE MANAGER)
(812) 232-4349
Entity
Organization
Contact information
Practice address
619 CHERRY ST, TERRE HAUTE, IN 47807-3125
(812) 232-4349
Mailing address
619 CHERRY ST, TERRE HAUTE, IN 47807-3125
(812) 232-4349
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
20042342A
IN
Other
Enumeration date
07/01/2010
Last updated
07/01/2010
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