TRAVIEETTA WOODLEY

GARY, IN
NPI1427467323
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy320800000X Community Based Residential Treatment Facility, Mental Illness
Enumeration Date2014-08-05
Last Update Date2014-08-05
Business Address
-- TRAVIEETTA WOODLEY
1100 W 6TH AVE
GARY, IN 46402-1711
Phone number: 219-885-4264
Mailing Address
-- TRAVIEETTA WOODLEY
619 W 39TH AVE
GARY, IN 46408-2601
Phone number: