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Organization

MIDWEST COUNSELING CENTER IN, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHRISTOPHER FOSTER (CEO)
(781) 558-8696
Entity
Organization

Contact information

Practice address
777 E MAIN ST, WESTFIELD, IN 46074-5300
(781) 558-8696
Mailing address
15813 72ND AVE FL 2, FRESH MEADOWS, NY 11365-4100
(716) 819-0392

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center

Other

Enumeration date
12/31/2024
Last updated
03/14/2025
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