Willowglen Academy in Freeport - Community Based Residential Treatment Facility, Mental Illness

Willowglen Academy - NPI 1710159959

Willowglen Academy is a Community Based Residential Treatment Facility, Mental Illness in Freeport, Illinois. Willowglen Academy practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Willowglen Academy is 1710159959. The last update date is 2008-03-27.

Willowglen Academy's current location address is 701 W Lamm Rd, Freeport, Illinois. You can contact this provider via phone number 8152336162 and fax number 8152336167. The mailing address for Willowglen Academy is 701 W Lamm Rd, Freeport, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Willowglen Academy
Address 701 W Lamm Rd, Freeport, Illinois
Phone Number 8152336162
Fax Number 8152336167
Sole Proprietor --
Credentials --

Authorized Official

Title or Position QMRP
Authorized Official Name Hooks Lyn Abigail
Telephone Number 8152336162

NPI Number Detail

NPI Number 1710159959
Provider Enumeration Date 2008-03-27
Last Updated Date 2008-03-27

Provider Mailing Address Detail

Address 701 W Lamm Rd
City Freeport
State Illinois (IL)
Post Code 610329630
Phone Number 8152336162
Fax Number 8152336167

Provider's Primary Taxonomy Detail

Speciality Community Based Residential Treatment Facility, Mental Illness
Taxonomy 320800000X
Definition:
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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FAQs about Willowglen Academy

What is the Willowglen Academy's unique identification number?

The Willowglen Academy has been assigned the NPI (National Provider Identifier) Number 1710159959 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Willowglen Academy's facilities are geographically located?

The facilities of Willowglen Academy are physically situated at the following location: 701 W Lamm Rd, Freeport, IL, 610329630.

What is Willowglen Academy's specialized field of practice, and what is the corresponding taxonomy classification code?

The Willowglen Academy's area of specialization is Community Based Residential Treatment Facility, Mental Illness, and the corresponding taxonomy code that categorizes this field of practice is 320800000X.

On what date did Willowglen Academy receive its 1710159959 assignment from the Centers for Medicare & Medicaid Services?

The Willowglen Academy was assigned its 1710159959 on 2008-03-27, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Willowglen Academy, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Willowglen Academy, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-03-27.

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