Willowglen Academy

NPI #1710159959 in Freeport, Illinois

Provider Information

NPI Number: 1710159959
Entity Type: Organization
Organization Name: Willowglen Academy
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Mar 27, 2008
Last Updated: Mar 27, 2008

Practice Location

Address: 701 W LAMM RD
City: Freeport
State: Illinois
ZIP Code: 61032-9630
Phone: (815) 233-6162

Authorized Official

Name: MS. ABIGAIL LYN HOOKS
Title: QMRP
Phone: (815) 233-6162

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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