NPI 1063880789

Alyncia Bonner

Practitioner Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Gary, IN

Practice location

Address: 1100 W 6th Ave, Gary, IN 46402-1711
Phone: (219) 885-4264

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Indiana →

Registry record

NPI: 1063880789
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Sep 2015
Record last updated: 11 Sep 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.