OrganizationActive
Edgewater Systems for Balanced Living, Inc
NPI 1093670648 · Federally Qualified Health Center (FQHC) · Gary, IN
Provider details
- NPI number
- 1093670648
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Danita Johnson-Woods, Ceo(219) 885-4264
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
900 Gerry St,
Gary, IN 46406
Phone: (844) 433-4392
Fax: (219) 888-9867
Approximate (ZIP-level) locationGet directions
Mailing address
1100 W 6th Ave
Gary, IN 46402-1711
Registry dates
- Enumerated
- 2025-12-17
- Last updated
- 2025-12-17
- Certified
- 2025-12-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.