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Organization

PORTER COUNTY FAMILY COUNSELING CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT COYLE PHD HSPP (CLINICAL DIRECTOR)
(219) 364-2732
Entity
Organization

Contact information

Practice address
794A MCCOOL RD, VALPARAISO, IN 46385-8856
(219) 364-2732
Mailing address
794-A MCCOOL ROAD, VALPARAISO, IN 46385-9998

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
20090241A
IN

Other

Enumeration date
09/05/2013
Last updated
09/05/2013
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