NPI 1417227984

Willowglen Academy - Indiana

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Gary, IN

Practice location

Address: 2301 Jefferson St, Gary, IN 46407-3043
Phone: (219) 886-2660
Fax: (219) 886-1319

Authorised official

Name: Lorene Cameron
Title: Executive Director
Phone: (219) 886-1320

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

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Registry record

NPI: 1417227984
Entity type: Organization
NPI issued: 30 Dec 2011
Record last updated: 30 Dec 2011

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.