MECHELLE LATIKER

GARY, IN
NPI1629461066
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy320800000X Community Based Residential Treatment Facility, Mental Illness
Enumeration Date2015-03-10
Last Update Date2015-03-10
Business Address
-- MECHELLE LATIKER
1100 W 6TH AVE
GARY, IN 46402-1711
Phone number: 219-885-4264
Mailing Address
-- MECHELLE LATIKER
1100 W 6TH AVE
GARY, IN 46402-1711
Phone number: 219-885-4264