Willowglen Academy - Indiana in Gary - Adolescent And Children Mental Health
Willowglen Academy - Indiana - NPI 1487858411
Willowglen Academy - Indiana is a Adolescent And Children Mental Health in Gary, Indiana. Willowglen Academy - Indiana practices all healthcare services and medical treatments related to Adolescent And Children Mental Health. The NPI Number for Willowglen Academy - Indiana is 1487858411. The last update date is 2020-08-22.
Willowglen Academy - Indiana's current location address is 308 E 21st Ave, Gary, Indiana. You can contact this provider via phone number 2198861320. The mailing address for Willowglen Academy - Indiana is 308 E 21st Ave, Gary, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Willowglen Academy - Indiana |
|---|---|
| Address | 308 E 21st Ave, Gary, Indiana |
| Phone Number | 2198861320 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Mueller Warren Dwayne |
| Credentials | RN |
| Telephone Number | 2198861320 |
NPI Number Detail
| NPI Number | 1487858411 |
|---|---|
| Provider Enumeration Date | 2007-06-13 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 308 E 21st Ave |
|---|---|
| City | Gary |
| State | Indiana (IN) |
| Post Code | 464072618 |
| Phone Number | 2198861320 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent And Children Mental Health |
|---|---|
| Taxonomy | 261Qm0855X |
| Licence No | 53769 |
|
Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patie |
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What is the unique 10-digit identifier code issued to Willowglen Academy - Indiana by the Centers for Medicare & Medicaid Services?
The Willowglen Academy - Indiana has been assigned the NPI (National Provider Identifier) 1487858411 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Willowglen Academy - Indiana?
The Willowglen Academy - Indiana is physically situated at 308 E 21St Ave, in the city of Gary, state of IN, with the postal code 464072618.
What is Willowglen Academy - Indiana's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Willowglen Academy - Indiana's specialized field of practice is Adolescent And Children Mental Health, and the corresponding taxonomy code that categorizes this area of specialization is 261Qm0855X.
When did Willowglen Academy - Indiana receive its 1487858411 assignment?
The Willowglen Academy - Indiana was assigned its 1487858411 on 2007-06-13, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Willowglen Academy - Indiana last refreshed?
The information related to the Willowglen Academy - Indiana, including its address, specialty, and other relevant details, was last updated on 2020-08-22.
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