Organization · Type 2 NPI

Edgewater Systems for Balanced Living, Inc

Federally Qualified Health Center (FQHC) · Gary, IN

NPI number 1245907344 Active

Practice location

426 S Lake St
Gary, IN 46403-2405

Call (219) 939-6070 Map

Mailing address

1100 W 6th Ave
Gary, IN 46402-1711

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

3 other providers at this address

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About NPI 1245907344

Edgewater Systems for Balanced Living, Inc's National Provider Identifier is 1245907344, issued on Aug 26, 2021. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Gary, IN. The record was last updated on Aug 26, 2021.