NPI 1457559262

Willowglen Hein Foster Care Group Home

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Plymouth, WI

Practice location

Address: 207 Hein Ave, Plymouth, WI 53073-2526
Phone: (920) 893-5132

Authorised official

Name: Jaya Singh
Title: Director Residential Services
Phone: (414) 527-6970

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 1005423 (WI)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Wisconsin →

Registry record

NPI: 1457559262
Entity type: Organization
NPI issued: 3 Jul 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.