DARIUS BRANNON

GARY, IN
NPI1104295120
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2015-09-21
Last Update Date2015-09-21
Business Address
DARIUS BRANNON B.A., CADAC II
1110 W 5TH AVE
GARY, IN 46402-1723
Phone number: 219-885-6424
Mailing Address
DARIUS BRANNON B.A., CADAC II
1110 W 5TH AVE
GARY, IN 46402-1723
Phone number: 219-885-6424