Organization
TIMILLA'S MENTORING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TIMILLA AIMILE BARKSDALE (CEO)
(219) 628-3721
Entity
Organization
Contact information
Practice address
1601 BROADWAY, GARY, IN 46407-2239
(219) 628-3721
(219) 882-0210
Mailing address
1601 BROADWAY, GARY, IN 46407-2239
(219) 628-3721
(219) 882-0210
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/19/2013
Last updated
04/19/2013
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