DEBORAH JACKSON

GARY, IN
NPI1801254461
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy320800000X Community Based Residential Treatment Facility, Mental Illness
Enumeration Date2016-02-10
Last Update Date2016-02-10
Business Address
-- DEBORAH JACKSON
1100 W 6TH AVE
GARY, IN 46402
Phone number: 219-885-4264
Mailing Address
-- DEBORAH JACKSON
1100 W 5TH AVE
GARY, IN 46402
Phone number: 219-885-4264
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