Organization
ADVANCED MEDICAL COMPUTING INC
Active
Organization
ADVANCED MEDICAL COMPUTING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. F. GEOFFREY SAMORA LCSW (PRESIDENT)
(574) 232-5065
Entity
Organization
Contact information
Practice address
150 W ANGELA BLVD, SOUTH BEND, IN 46617-1101
(574) 232-5065
(574) 232-5386
Mailing address
150 W ANGELA BLVD, SOUTH BEND, IN 46617-1101
(574) 232-5065
(574) 232-5386
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
39000590A
IN
103T00000X
Psychologist
20040221A
IN
1041C0700X
Clinical Social Worker
Primary
34002397A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200441660A
—
IN
Enumeration date
03/31/2008
Last updated
12/07/2011
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