EDGEWATER SYSTEMS FOR BALANCED LIVING, INC is a federally qualified health center (fqhc) clinic center in Gary, IN. EDGEWATER SYSTEMS FOR BALANCED LIVING, INC NPI is 1245907344. The provider is registered as an organization entity type.
The provider Is Doing Business As Edgewater Health: Lake Street Pediatrics.
The provider's business location address is:
426 S LAKE ST
GARY, IN
ZIP 46403-405
Phone: (219) 939-6070
The provider's authorized official is Danita Johnson Hughes .
The authorized official title is Ceo and has the following contact phone number (219) 885-4264.
The enumeration date for this NPI number is 8/26/2021 and was last updated on 8/26/2021.