Ieisha Moffett
Ieisha Moffett is a Mental Illness Community Based Residential Treatment Facility in Gary, Indiana. Practices as a sole proprietor. Registered with an NPI since 2015.
- In the registry since
- 2015
Practice location Address checks out
1100 W 6th AveGary, IN 46402-1711
Phone: (219) 885-4264
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Illness Community Based Residential Treatment Facility (primary) | Taxonomy 320800000X |
|---|
Record details
| NPI number | 1366816084 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | November 18, 2015 |
| Last updated in NPPES | November 18, 2015 |
| Mailing address | 1100 W 6th Ave, Gary, IN 46402-1711 |
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