NPI 1992474191

Willowglen Academy

Organisation Mental Illness Community Based Residential Treatment Facility Marengo, IL

Practice location

Address: 980 Courtney Ln, Marengo, IL 60152-3375
Phone: (815) 568-5418
Mailing address: 8521 Six Forks Rd STE 300, Raleigh, NC 27615-5294

Authorised official

Name: Kedrian Coleman
Title: Director Revenue Cycle
Phone: (919) 709-0197

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X

Other Community Based Residential Treatment Facility, Mental Illness providers in Illinois →

Registry record

NPI: 1992474191
Entity type: Organization
NPI issued: 10 Sep 2021
Record last updated: 10 Sep 2021

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.