NPI 1093670648

Edgewater Systems for Balanced Living, INC

Organisation Federally Qualified Health Center (FQHC) Gary, IN

Practice location

Address: 900 Gerry St,, Gary, IN 46406
Phone: (844) 433-4392
Fax: (219) 888-9867
Mailing address: 1100 W 6th Ave, Gary, IN 46402-1711

Authorised official

Name: Danita Johnson-Woods
Title: Ceo
Phone: (219) 885-4264

Registered specialties

Federally Qualified Health Center (FQHC) Primary

Ambulatory Health Care Facilities Taxonomy 261QF0400X

Other Clinic/Center providers in Indiana →

Registry record

NPI: 1093670648
Entity type: Organization
NPI issued: 17 Dec 2025
Record last updated: 17 Dec 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.