Organization · Type 2 NPI

Edgewater Systems

Substance Abuse Rehabilitation Facility · Gary, IN

NPI number 1881063196 Active

Practice location

4747 W 24th Ave
Gary, IN 46406-2821

Fax (219) 977-1197

Mailing address

1100 W 6th Ave
Gary, IN 46402-1711

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000XNone listed

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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About NPI 1881063196

Edgewater Systems's National Provider Identifier is 1881063196, issued on Sep 16, 2015. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Gary, IN. The record was last updated on Sep 16, 2015.