Organization · Type 2 NPI

Willowglen Academy - Indiana

Emotionally Disturbed Childrens' Residential Treatment Facility · Gary, IN

NPI number 1417227984 Active

Practice location

2301 Jefferson St
Gary, IN 46407-3043

Fax (219) 886-1319

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000XNone listed

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 1417227984

Willowglen Academy - Indiana's National Provider Identifier is 1417227984, issued on Dec 30, 2011. 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 Dec 30, 2011.