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Jennifer Mazzola
Mental Illness Community Based Residential Treatment Facility in Muncie, Indiana
NPI 1750955415

Jennifer Mazzola is a Mental Illness Community Based Residential Treatment Facility based in Indianapolis, IN. Jennifer Mazzola practices in Muncie, IN. The NPI Number for Jennifer Mazzola is 1750955415 and holds a License No. (Indiana).

The current practice location address for Jennifer Mazzola is 3700 W Kilgore Ave, Muncie, IN and can be reached out via phone at 765-747-5223. You can also correspond with Jennifer Mazzola through the mailing address at 4840 SUNPOINT CIR APT 610, INDIANAPOLIS, IN - 46237-4601 (mailing address contact number: ).

Location: 3700 W Kilgore Ave, Muncie, IN, 46237-4601
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750955415
Provider Name
Jennifer Mazzola
Credential
Provider Entity Type
Individual
Gender
Female
Address
3700 W Kilgore Ave, Muncie, IN, 46237-4601
Phone Number
765-747-5223
Fax Number
Provider Enumeration Date
05/18/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3700 W Kilgore Ave
City
Muncie
State
Indiana
Zip
47304-4810
Phone Number
765-747-5223
Fax Number
person
Provider Business Mailing Address Details
Address
3700 W Kilgore Ave
City
Muncie
State
Indiana
Zip
47304-4810
Phone Number
765-747-5223
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
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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