Organization · Type 2 NPI
Edgewater Systems for Balanced Living, Inc
Federally Qualified Health Center (FQHC) · Griffith, IN
NPI number
1366043457
Active
Practice location
1212 N Broad St
Griffith, IN 46319-1534
Mailing address
1100 W 6th Ave
Gary, IN 46402-1711
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
Another provider at this address
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About NPI 1366043457
Edgewater Systems for Balanced Living, Inc's National Provider Identifier is 1366043457, issued on Nov 4, 2020. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Griffith, IN. The record was last updated on Nov 4, 2020.