Willowglen Academy-Il, INC.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Freeport, IL. Organization (NPI-2).
NPI number1598097016
StatusActive
Last updated in NPPESFeb 9, 2010
Details
- NPI
- 1598097016
- Entity type
- Organization (NPI-2)
- Legal business name
- Willowglen Academy-Il, INC.
- Organization subpart
- Yes
- Enumeration date
- Feb 9, 2010
- Last updated
- Feb 9, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Practice location
564 N Greenfield DrFreeport, IL 61032-2943
Phone 815-233-6162
Mailing address
701 W Lamm RdFreeport, IL 61032-9630
Authorized official
Betty Kinard
Executive Director
8152336162
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