person
Sharon Maggie Kelly
Mental Illness Community Based Residential Treatment Facility in Gary, Indiana
NPI 1235695206

Sharon Maggie Kelly is a Mental Illness Community Based Residential Treatment Facility based in Gary, IN. Sharon Maggie Kelly practices in Gary, IN. The NPI Number for Sharon Maggie Kelly is 1235695206 and holds a License No. (Indiana).

The current practice location address for Sharon Maggie Kelly is 4747 W 24Th Ave, Gary, IN and can be reached out via phone at 219-240-8615 and via fax at 219-977-1197.

Location: 4747 W 24Th Ave, Gary, IN, 46406-2821
person
Provider Profile Details
NPI Number
1235695206
Provider Name
Sharon Maggie Kelly
Credential
Provider Entity Type
Individual
Gender
Female
Address
4747 W 24Th Ave, Gary, IN, 46406-2821
Phone Number
219-240-8615
Fax Number
219-977-1197
Provider Enumeration Date
02/14/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4747 W 24Th Ave
City
State
Zip
46406-2821
Phone Number
219-240-8615
Fax Number
219-977-1197
person
Provider Business Mailing Address Details
Address
4747 W 24Th Ave
City
State
Zip
46406-2821
Phone Number
219-240-8615
Fax Number
219-977-1197
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
License No.
()
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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