NPI 1235503962
Latasha Balentine
Practice location
- Address
- 1100 W 6th Ave, Gary, IN 46402-1711
- Phone
- (219) 885-4264
Registered specialties
Mental Illness Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1235503962
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 18 Nov 2015
- Record last updated
- 18 Nov 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.