Organization
DIVORCE RECOVERY CENTER OF NORTHWEST INDIANA LLC
Active
Other names
Divorce Recovery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELINE RAE SCHULLER MSW, LCSW (OWNER)
(219) 484-2143
Entity
Organization
Contact information
Practice address
2612 W LINCOLN HWY, MERRILLVILLE, IN 46410-5235
(219) 484-2143
(219) 484-2143
Mailing address
2612 W LINCOLN HWY, MERRILLVILLE, IN 46410-5235
(219) 484-2143
(219) 484-2143
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/20/2018
Last updated
06/11/2020
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