Willowglen Hein Foster Care Group Home

NPI #1457559262 in Plymouth, Wisconsin

Provider Information

NPI Number: 1457559262
Entity Type: Organization
Organization Name: Willowglen Hein Foster Care Group Home
Primary Specialty: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: Jul 3, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 207 HEIN AVE
City: Plymouth
State: Wisconsin
ZIP Code: 53073-2526
Phone: (920) 893-5132

Authorized Official

Name: JAYA SINGH, PH.D.
Title: DIRECTOR RESIDENTIAL SERVICES
Phone: (414) 527-6970

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Emotionally Disturbed Children	322D00000X	Primary

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