MARY DAVIS

GARY, IN
NPI1245649979
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy320800000X Community Based Residential Treatment Facility, Mental Illness
Enumeration Date2014-08-06
Last Update Date2014-08-06
Business Address
-- MARY DAVIS
1100 W 6TH AVE
GARY, IN 46402-1711
Phone number: 219-885-4264
Mailing Address
-- MARY DAVIS
1100 W 6TH AVE
GARY, IN 46402-1711
Phone number: 219-885-4264