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Willowglen Academy - Indiana
Adolescent and Children Mental Health Clinic/Center in Gary, Indiana
NPI 1487858411

Willowglen Academy - Indiana is an Adolescent and Children Mental Health Clinic/Center based in Gary, IN and is specialized in Adolescent and Children Mental Health. Willowglen Academy - Indiana practices in Gary, IN. The NPI Number for Willowglen Academy - Indiana is 1487858411 and holds a License No. 53769 (Indiana).

The current practice location address for Willowglen Academy - Indiana is 308 E 21St Ave, Gary, IN and can be reached out via phone at 219-886-1320. You can also correspond with Willowglen Academy - Indiana through the mailing address at 308 E 21ST AVE, GARY, IN - 46407-2618 (mailing address contact number: 219-886-1320).

Location: 308 E 21St Ave, Gary, IN, 46407-2618
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1487858411
Provider Name
Willowglen Academy - Indiana
Credential
Provider Entity Type
Organization
Address
308 E 21St Ave, Gary, IN, 46407-2618
Phone Number
219-886-1320
Fax Number
Provider Enumeration Date
06/13/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
308 E 21St Ave
City
Gary
State
Indiana
Zip
46407-2618
Phone Number
219-886-1320
Fax Number
person
Provider Business Mailing Address Details
Address
308 E 21St Ave
City
Gary
State
Indiana
Zip
46407-2618
Phone Number
219-886-1320
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
53769 (Indiana)
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 patient in the form of conjoint, group, or individual therapy, and education and/or training.
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