Willowglen Academy

NPI #1669149928 in Yorkville, Illinois

Provider Information

NPI Number: 1669149928
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: 1222 SPRING ST
City: Yorkville
State: Illinois
ZIP Code: 60560-2350
Phone: (630) 553-2258

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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