Provider Demographics
NPI:1801115845
Name:METROPOLITAN OASIS COMMUNITY DEVELOPMENT CORPORATION
Entity type:Organization
Organization Name:METROPOLITAN OASIS COMMUNITY DEVELOPMENT CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TOYA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-808-5918
Mailing Address - Street 1:1649 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:GARY
Mailing Address - State:IN
Mailing Address - Zip Code:46407-2231
Mailing Address - Country:US
Mailing Address - Phone:219-881-0447
Mailing Address - Fax:219-881-1115
Practice Address - Street 1:1649 BROADWAY
Practice Address - Street 2:
Practice Address - City:GARY
Practice Address - State:IN
Practice Address - Zip Code:46407-2231
Practice Address - Country:US
Practice Address - Phone:219-881-0447
Practice Address - Fax:219-881-1115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-28
Last Update Date:2010-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health