Organization
CAPITAL CITY FAMILY EDUCATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHATIO BALLARD (DIRECTOR HUMAN RESORCES & FIANCE)
(219) 756-1500
Entity
Organization
Contact information
Practice address
6049 BROADWAY, MERRILLVILLE, IN 46410-2619
(219) 427-0193
(219) 756-1503
Mailing address
6049 BROADWAY, MERRILLVILLE, IN 46410-2619
(219) 427-0193
(219) 756-1503
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/20/2017
Last updated
03/20/2017
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