NPI 1235695206

Sharon Maggie Kelly

Practitioner Mental Illness Community Based Residential Treatment Facility Gary, IN

Practice location

Address: 4747 W 24th Ave, Gary, IN 46406-2821
Phone: (219) 240-8615
Fax: (219) 977-1197

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X

Other Community Based Residential Treatment Facility, Mental Illness providers in Indiana →

Registry record

NPI: 1235695206
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Feb 2019
Record last updated: 14 Feb 2019

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.