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Jacqueline Denise Washington, MENTALHEALTH
Mental Illness Community Based Residential Treatment Facility in Gary, Indiana
NPI 1801670831

Jacqueline Denise Washington is a Mental Illness Community Based Residential Treatment Facility based in Gary, IN. Jacqueline Denise Washington practices in Gary, IN and has the professional credentials of MENTALHEALTH. The NPI Number for Jacqueline Denise Washington is 1801670831 and holds a License No. (Indiana).

The current practice location address for Jacqueline Denise Washington is 224 Dallas St, Gary, IN and can be reached out via phone at 219-248-5307.

Location: 224 Dallas St, Gary, IN, 46406-1327
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801670831
Provider Name
Jacqueline Denise Washington
Credential
MENTALHEALTH
Provider Entity Type
Individual
Gender
Female
Address
224 Dallas St, Gary, IN, 46406-1327
Phone Number
219-248-5307
Fax Number
Provider Enumeration Date
08/21/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
224 Dallas St
City
Gary
State
Indiana
Zip
46406-1327
Phone Number
219-248-5307
Fax Number
person
Provider Business Mailing Address Details
Address
224 Dallas St
City
Gary
State
Indiana
Zip
46406-1327
Phone Number
219-248-5307
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
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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