Willowglen Academy-Il, Inc.

NPI #1598097016 in Freeport, Illinois

Provider Information

NPI Number
1598097016
Entity Type
Organization
Organization Name
Willowglen Academy-Il, Inc.
Subpart
Yes (part of a larger organization)
Parent Organization
PHOENIX CARE SYSTEMS
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Feb 9, 2010
Last Updated
Feb 9, 2010

Practice Location

Address
564 N GREENFIELD DR
ZIP Code
61032-2943
Phone
(815) 233-6162

Authorized Official

Name
MRS. BETTY KINARD
Title
EXECUTIVE DIRECTOR
Phone
(815) 233-6162

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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