Willowglen Academy

NPI #1568139848 in Springfield, Illinois

Provider Information

NPI Number: 1568139848
Entity Type: Organization
Organization Name: Willowglen Academy
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Aug 25, 2021
Last Updated: Aug 25, 2021

Practice Location

Address: 2912 SANDY LN
City: Springfield
State: Illinois
ZIP Code: 62711-5700
Phone: (217) 698-4820

Authorized Official

Name: KEDRIAN COLEMAN
Title: DIRECTOR REVENUE CYCLE
Phone: (919) 709-0197

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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