Willowglen Academy - Indiana is a health care provider in Gary, IN. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location||308 E 21st Ave, Gary, IN 46407-2618, US|
|Practice Location Phone||219-886-1320|
|Practice Location Fax|
|Legal Business Name||WILLOWGLEN ACADEMY - INDIANA|
|Enumeration Date ?||Jun 13, 2007|
|Last Update Date ?||Jul 8, 2007|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Clinic/Center||Ambulatory Health Care Facilities||Adolescent and Children Mental Health||53769||Indiana|
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Willowglen Academy - Indiana's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official||Mr. Dwayne Warren Mueller (RN)|
|Authorized Official Title/Position||EXECUTIVE DIRECTOR|
|Authorized Official Phone Number||219-886-1320|