Willowglen Academy - Indiana in Gary - Residential Treatment Facility, Emotionally Disturbed Children
Willowglen Academy - Indiana - NPI 1144353715
Willowglen Academy - Indiana is a Residential Treatment Facility, Emotionally Disturbed Children in Gary, Indiana. Willowglen Academy - Indiana practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Willowglen Academy - Indiana is 1144353715. The last update date is 2020-08-22.
Willowglen Academy - Indiana's current location address is 308 E 21st Ave, Gary, Indiana. You can contact this provider via phone number 2198861320 and fax number 2198861319. The mailing address for Willowglen Academy - Indiana is 308 E 21st Ave, Gary, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Willowglen Academy - Indiana |
|---|---|
| Address | 308 E 21st Ave, Gary, Indiana |
| Phone Number | 2198861320 |
| Fax Number | 2198861319 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Mueller Warren Dwayne |
| Credentials | RN |
| Telephone Number | 2198861320 |
NPI Number Detail
| NPI Number | 1144353715 |
|---|---|
| Provider Enumeration Date | 2007-03-13 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 308 E 21st Ave |
|---|---|
| City | Gary |
| State | Indiana (IN) |
| Post Code | 464072618 |
| Phone Number | 2198861320 |
| Fax Number | 2198861319 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
| Licence No | 33456 |
|
Definition: 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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Post Comment/ Review Below
What is the Willowglen Academy - Indiana's unique identification number?
The Willowglen Academy - Indiana has been assigned the NPI (National Provider Identifier) Number 1144353715 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Willowglen Academy - Indiana is geographically located?
The Willowglen Academy - Indiana is physically situated at the following location: 308 E 21St Ave, Gary, IN, 464072618.
What is Willowglen Academy - Indiana's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Willowglen Academy - Indiana's specialized field of practice is Residential Treatment Facility, Emotionally Disturbed Children, and the corresponding taxonomy code that categorizes this area of specialization is 322D00000X.
On what date did Willowglen Academy - Indiana receive its 1144353715 assignment from the Centers for Medicare & Medicaid Services?
The Willowglen Academy - Indiana was assigned its 1144353715 on 2007-03-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Willowglen Academy - Indiana, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Willowglen Academy - Indiana, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
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