| NPI | 1770960536 |
|---|---|
| Doing Business As | EDGEWATER BEHAVIORAL HEALTH SERVICES, INC |
| Doing Business As | EDGEWATER HEALTH RAPID ACCESS CENTER |
| Entity Type | Organization |
| Authorized Contact | DANITA JOHNSON-HUGHES CEO 219-881-2466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: IN 421-009) |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2018-06-16 |