Willowglen Academy
NPI #1649947920 in Springfield, Illinois
Provider Information
- NPI Number
- 1649947920
- 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
- 1905 MONTANA DR STE 20
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62704-7009
- Phone
- (217) 496-2433
Authorized Official
- Name
- KEDRIAN COLEMAN
- Title
- DIRECTOR REVENUE CYCLE
- Phone
- (919) 709-0197
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
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