Individual provider · Type 1 NPI

Kyla Gordon

Mental Illness Community Based Residential Treatment Facility · Gary, IN

NPI number 1457719056 Active

Practice location

1100 W 6th Ave
Gary, IN 46402-1711

Call (219) 885-4264 Map

Mailing address

1100 W 5th Ave
Gary, IN 46402

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000XNone listed

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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About NPI 1457719056

Kyla Gordon's National Provider Identifier is 1457719056, issued on Feb 10, 2016. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Gary, IN. The record was last updated on Feb 10, 2016.