Organization
SHULTS-LEWIS CHILD AND FAMILY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHEILLA ANN DAVIS B.S. (DIRECTOR OF OPERATIONS)
(219) 462-0513
Entity
Organization
Contact information
Practice address
325 SOUTH 150 EAST, VALPARAISO, IN 46383-7866
(219) 462-0513
(219) 464-7828
Mailing address
P.O. BOX 471, VALPARAISO, IN 46384-0471
(219) 462-0513
(219) 464-7828
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
16206793332195
IN
Other
Enumeration date
09/30/2010
Last updated
09/30/2010
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