Organization
CATHOLIC CHARITIES DIOCESE OF GARY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH M. FLANAGAN PH.D (DIOCESAN DIRECTOR)
(219) 663-8417
Entity
Organization
Contact information
Practice address
321 E 11TH ST, MICHIGAN CITY, IN 46360-3641
(219) 879-9312
(219) 879-9073
Mailing address
176 S WEST ST, CROWN POINT, IN 46307-3906
(219) 663-8417
(219) 663-8421
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
56030098 50243
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200085310
—
IN
Enumeration date
03/06/2007
Last updated
10/30/2013
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