Whalio Doctors

NPI 1669670477

Willowglen Academy-Wisconsin, INC.

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Plymouth, WI

Practice location

Address
1111 Reed St, Plymouth, WI 53073-2506
Phone
(920) 565-6004

Authorised official

Name
Sara Sandee
Title
Director Residential Services
Phone
(414) 527-6970

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 322D00000X Licence 1001570 (WI)

Registry record

NPI
1669670477
Entity type
Organization
NPI issued
3 Jul 2007
Record last updated
25 Jun 2008

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.