Organization · Type 2 NPI

Willowglen Academy - Indiana

Emotionally Disturbed Childrens' Residential Treatment Facility · Gary, IN

NPI number 1144353715 Active

Practice location

308 E 21st Ave
Gary, IN 46407-2618

Fax (219) 886-1319

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000X33456 (IN)

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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About NPI 1144353715

Willowglen Academy - Indiana's National Provider Identifier is 1144353715, issued on Mar 13, 2007. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Gary, IN. The record was last updated on Aug 22, 2020.