Whalio Doctors

NPI 1215467659

Sea Therapy LLC

Organisation Community/Behavioral Health Agency Elkhart, IN

Practice location

Address
1004 Parkway Ave STE D, Elkhart, IN 46516-9349
Phone
(574) 293-0005
Mailing address
29765 County Road 118, Elkhart, IN 46517-9392

Authorised official

Name
Stephanie K McIntosh Szabo
Title
Owner
Phone
(574) 612-4556

Registered specialties (2)

Community/Behavioral Health Agency Primary
Agencies Taxonomy 251S00000X Licence 309003032A (IN)
Community/Behavioral Health Agency
Agencies Taxonomy 251S00000X Licence 87000369A (IN)

Registry record

NPI
1215467659
Entity type
Organization
NPI issued
18 Jun 2017
Record last updated
9 Jul 2017

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.