IndividualActive
Travieetta Woodley
NPI 1427467323 · Mental Illness Community Based Residential Treatment Facility · Gary, IN
Provider details
- NPI number
- 1427467323
- 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
1100 W 6th Ave
Gary, IN 46402-1711
Phone: (219) 885-4264
Approximate (ZIP-level) locationGet directions
Mailing address
619 W 39th Ave
Gary, IN 46408-2601
Registry dates
- Enumerated
- 2014-08-05
- Last updated
- 2014-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.