DONALD WILLIAMS JR.

GARY, IN
NPI1548638497
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy320800000X Community Based Residential Treatment Facility, Mental Illness
Enumeration Date2015-09-09
Last Update Date2015-09-09
Business Address
-- DONALD WILLIAMS JR.
1100 W 6TH AVE
GARY, IN 46402-1711
Phone number: 219-885-4264
Mailing Address
-- DONALD WILLIAMS JR.
1100 W 6TH AVE
GARY, IN 46402-1711
Phone number: 219-885-4264