Willowglen Academy-Wisconsin, Inc.

NPI #1669670477 in Plymouth, Wisconsin

Provider Information

NPI Number: 1669670477
Entity Type: Organization
Organization Name: Willowglen Academy-Wisconsin, Inc.
Primary Specialty: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: Jul 3, 2007
Last Updated: Jun 25, 2008

Practice Location

Address: 1111 REED ST
City: Plymouth
State: Wisconsin
ZIP Code: 53073-2506
Phone: (920) 565-6004

Authorized Official

Name: SARA SANDEE
Title: DIRECTOR RESIDENTIAL SERVICES
Phone: (414) 527-6970

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Emotionally Disturbed Children	322D00000X	Primary

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