NPI 1144353715

Willowglen Academy - Indiana

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Gary, IN

Practice location

Address: 308 E 21st Ave, Gary, IN 46407-2618
Phone: (219) 886-1320
Fax: (219) 886-1319

Authorised official

Name: Dwayne Warren Mueller
Title: Executive Director
Phone: (219) 886-1320

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 33456 (IN)

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Registry record

NPI: 1144353715
Entity type: Organization
NPI issued: 13 Mar 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.