IndividualActive
Tia Williams
NPI 1013385111 · Mental Illness Community Based Residential Treatment Facility · Gary, IN
Provider details
- NPI number
- 1013385111
- Entity type
- Individual
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
Mailing address
4747 W 24th Ave
Gary, IN 46406-2821
Registry dates
- Enumerated
- 2015-09-04
- Last updated
- 2015-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.