NPI 1124108733

Nusource Educational Service

Organisation Mental Health Clinic/Center (Including Community Mental Health Center) Gary, IN

Practice location

Address: 4270 Ohio St, Gary, IN 46409-2006
Phone: (219) 980-6217
Fax: (219) 985-8772

Authorised official

Name: Katherlyn Thedford
Title: Chief of Operations
Phone: (219) 980-6217

Registered specialties

Mental Health Clinic/Center (Including Community Mental Health Center) Primary

Ambulatory Health Care Facilities Taxonomy 261QM0801X

Other Clinic/Center providers in Indiana →

Registry record

NPI: 1124108733
Entity type: Organization
NPI issued: 17 Oct 2006
Record last updated: 22 Aug 2020

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.