Individual provider · Type 1 NPI

Travieetta Woodley

Mental Illness Community Based Residential Treatment Facility · Gary, IN

NPI number 1427467323 Active

Practice location

1100 W 6th Ave
Gary, IN 46402-1711

Mailing address

619 W 39th Ave
Gary, IN 46408-2601

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000XNone listed

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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About NPI 1427467323

Travieetta Woodley's National Provider Identifier is 1427467323, issued on Aug 5, 2014. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Gary, IN. The record was last updated on Aug 5, 2014.