IndividualActive
Jennifer Mazzola
NPI 1750955415 · Mental Illness Community Based Residential Treatment Facility · Muncie, IN
Provider details
- NPI number
- 1750955415
- Entity type
- Individual
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Residential Treatment Facilities
Practice location
3700 W Kilgore Ave
Muncie, IN 47304-4810
Phone: (765) 747-5223
Approximate (ZIP-level) locationGet directions
Mailing address
4840 Sunpoint Cir Apt 610
Indianapolis, IN 46237-4601
Registry dates
- Enumerated
- 2021-05-18
- Last updated
- 2021-05-18
- Certified
- 2021-05-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.