Organization
EDGEWATER SYSTEMS FOR BALANCED LIVING, INC
Active
Organization
EDGEWATER SYSTEMS FOR BALANCED LIVING, INC
Active
Other names
EDGEWATER HEALTH - TURNING POINT
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY A ROLL (ENROLLMENT)
(317) 472-7396
Entity
Organization
Contact information
Practice address
1110 W 5TH AVE, GARY, IN 46402-1723
(219) 885-4264
Mailing address
1100 W 6TH AVE, GARY, IN 46402-1711
(219) 885-4264
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
283Q00000X
Psychiatric Hospital
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
06/11/2018
Last updated
06/11/2018
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