MICHAEL CODY

GARY, IN
NPI1598244022
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IN  86000050A)
Enumeration Date2018-08-07
Last Update Date2018-08-07
Business Address
MICHAEL CODY CADAC II, LAC
8000 MELTON RD
GARY, IN 46403-3114
Phone number: 219-938-4651
Mailing Address
MICHAEL CODY CADAC II, LAC
8000 MELTON RD
GARY, IN 46403-3114
Phone number:
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