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Search › Indiana › Mental Illness Community Based Residential Treatment Facility

De'Loria Green

NPI 1275905861 · on the registry since 2015 · sole proprietor

Practice

Address
1100 W 6th Ave
Gary, IN 46402
Phone
(219) 885-4264
Organisation at this address
Edgewater Health
Genoa Healthcare Llc
Edgewater Systems For Balanced Living, Inc
Edgewater Systems For Balanced Living, Inc
Edgewater Systems For Balanced Living, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
233

Registry record

Primary taxonomy
Mental Illness Community Based Residential Treatment Facility
320800000X
Sex
Female
Record last updated
2015-10-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana