NPI 1427286079
Provisions Educational Network INC
Practice location
- Address
- 5201 Broadway, Merrillville, IN 46410-1595
- Phone
- (219) 980-6100
Authorised official
- Name
- Deborah H Black
- Title
- Ceo
- Phone
- (219) 980-6100
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1427286079
- Entity type
- Organization
- NPI issued
- 22 Jun 2009
- Record last updated
- 22 Jun 2009
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.