Willowglen Academy-Il

NPI #1598969073 in Freeport, Illinois

Provider Information

NPI Number: 1598969073
Entity Type: Organization
Organization Name: Willowglen Academy-Il
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jun 11, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1653 DE BOER LN
City: Freeport
State: Illinois
ZIP Code: 61032-5900
Phone: (815) 232-8130

Authorized Official

Name: MRS. ELIZABETH A KINARD
Title: EXECUTIVE DIRECTOR
Phone: (815) 233-6162

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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