Timilla's Mentoring Center | |
1601 Broadway Gary IN 46407-2239 | |
(219) 628-3721 | |
(219) 882-0210 |
Full Name | Timilla's Mentoring Center |
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Speciality | Community/behavioral Health |
Location | 1601 Broadway, Gary, Indiana |
Authorized Official Name and Position | Timilla Aimile Barksdale (CEO) |
Authorized Official Contact | 2196283721 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Timilla's Mentoring Center 1601 Broadway Gary IN 46407-2239 Ph: (219) 628-3721 | Timilla's Mentoring Center 1601 Broadway Gary IN 46407-2239 Ph: (219) 628-3721 |
NPI Number | 1184068264 |
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Provider Enumeration Date | 04/19/2013 |
Last Update Date | 04/19/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184068264 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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