Willowglen Academy

NPI #1750050118 in Freeport, Illinois

Provider Information

NPI Number: 1750050118
Entity Type: Organization
Organization Name: Willowglen Academy
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Sep 9, 2021
Last Updated: Sep 9, 2021

Practice Location

Address: 1774 S HANCE DR
City: Freeport
State: Illinois
ZIP Code: 61032-6706
Phone: (815) 235-7920

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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