Organization
CORINTHIAN CHRISTIAN CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAN GOLD (OFFICE MANAGER)
(219) 662-2224
Entity
Organization
Contact information
Practice address
667 VAN BUREN ST, GARY, IN 46402-2240
(219) 885-5819
(219) 661-8892
Mailing address
PO BOX 9135, GARY, IN 46402-9135
(219) 885-5819
(219) 661-8892
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20040617A
IN
Other
Enumeration date
01/12/2007
Last updated
08/22/2020
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