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NPI Code Detail

MEDICARE: YWCA NORTH CENTRAL INDIANA

MEDICARE: YWCA NORTH CENTRAL INDIANA
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
1324500000XSubstance Abuse Rehabilitation Facility

General Provider Information

NPI Number : 1922438928
Entity Type Code : Organization
Provider Name (Legal Business Name) : YWCA NORTH CENTRAL INDIANA
Provider Business Mailing Address
First Line : 1102 FELLOWS ST
Second Line :
City : SOUTH BEND
State : IN
Zip : 46601-3514
Country : US
Telephone Number : 574-233-9491
Fax Number : 574-233-9616
Provider Business Practice Location Address
First Line : 1102 FELLOWS ST
Second Line :
City : SOUTH BEND
State : IN
Zip : 46601-3514
Country : US
Telephone Number : 574-233-9491
Fax Number : 574-233-9616
Authorized Official
Title or Position : PRESIDENT
Name : MS. LINDA S BAECHLE
Credential :
Telephone Number : 574-233-9491
Provider Enumeration Date : 11/13/2013
Last Update Date : 11/13/2013

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Directions to “YWCA NORTH CENTRAL INDIANA ” Practice Location

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