Provider Demographics
NPI:1316344575
Name:THE ZEILBECK GROUP INCORPORATED
Entity type:Organization
Organization Name:THE ZEILBECK GROUP INCORPORATED
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF THERAPY SERVICES
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:T
Authorized Official - Last Name:ZEILBECK
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:219-575-9314
Mailing Address - Street 1:717 MONROE ST
Mailing Address - Street 2:
Mailing Address - City:LA PORTE
Mailing Address - State:IN
Mailing Address - Zip Code:46350-3356
Mailing Address - Country:US
Mailing Address - Phone:219-575-1437
Mailing Address - Fax:574-830-1064
Practice Address - Street 1:717 MONROE ST
Practice Address - Street 2:
Practice Address - City:LA PORTE
Practice Address - State:IN
Practice Address - Zip Code:46350-3356
Practice Address - Country:US
Practice Address - Phone:219-575-1437
Practice Address - Fax:574-830-1064
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-03
Last Update Date:2014-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health