Marlon Clayton

NPI #1467826198 in Gary, Indiana

Provider Information

NPI Number: 1467826198
Entity Type: Individual
Name: Marlon Clayton
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Nov 18, 2015
Last Updated: Nov 18, 2015

Practice Location

Address: 1100 W 6TH AVE
City: Gary
State: Indiana
ZIP Code: 46402-1711
Phone: (219) 885-4264

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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