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NPI Code Detail

MEDICARE: ADDICTION AND FAMILY CARE, INC.

MEDICARE: ADDICTION AND FAMILY CARE, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency34003651AIN

General Provider Information

NPI Number : 1154607547
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADDICTION AND FAMILY CARE, INC.
Provider Business Mailing Address
First Line : 3440 169TH ST
Second Line :
City : HAMMOND
State : IN
Zip : 46323-2542
Country : US
Telephone Number : 219-844-7152
Fax Number : 219-844-7160
Provider Business Practice Location Address
First Line : 3440 169TH ST
Second Line :
City : HAMMOND
State : IN
Zip : 46323-2542
Country : US
Telephone Number : 219-844-7152
Fax Number : 219-844-7160
Authorized Official
Title or Position : OWNER
Name : MS. NANCY KATHLEEN FROMM
Credential : LCSW
Telephone Number : 219-844-7152
Provider Enumeration Date : 10/29/2011
Last Update Date : 10/29/2011

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Directions to “ADDICTION AND FAMILY CARE, INC. ” Practice Location

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