OrganizationActive
Become Fabulous
NPI 1407291883 · Community/Behavioral Health Agency · Gary, IN
Provider details
- NPI number
- 1407291883
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Jacqueline Ayers, Ceo(219) 840-8444
Specialties & taxonomies
Agencies
Practice location
1534 Garfield St
Gary, IN 46404-2725
Phone: (219) 882-4010
Fax: (219) 882-0210
Approximate (ZIP-level) locationGet directions
Mailing address
1534 Garfield St
Gary, IN 46404-2725
Registry dates
- Enumerated
- 2013-04-30
- Last updated
- 2013-04-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.