| NPI | 1598316978 |
|---|---|
| Doing Business As | EDGEWATER SYSTEMS |
| Entity Type | Organization |
| Authorized Contact | DANITA JOHNSON HUGHES President & CEO 219-885-4264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2019-09-26 |