Willowglen Academy - Wilson

NPI 1093908451 - Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X

NPI Details
NPI 1093908451
Enumeration Date 08/20/2007
Last Updated 02/11/2009
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name SARA SARA
Position DIRECTOR OF RESIDENTIAL SERVICES
Phone (920) 458-6640
Fax (866) 458-6678
Practice Location
3603 S BUSINESS DR
SHEBOYGAN WI, 53081-7096, US
Phone (920) 458-6640
Fax (866) 458-6678
Business Location
3603 S BUSINESS DR
SHEBOYGAN WI, 53081-7096, US
Phone (920) 458-6640
Fax (866) 458-6678
Toxanomy
Taxonomy Code 322D00000X
License State
License Number
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According to our database, Willowglen Academy - Wilson NPI is 1093908451, taxonomy code is 322D00000X Willowglen Academy - Wilson physically located at 3603 S Business Dr, Sheboygan WI, 53081-7096. NPI Number 1033115704 has the healthcare provider type.

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1093908451 NPI number is provided on an as is basis without warranty of any kind. 1093908451 is maintained by the National Plan & Provider Enumeration System. The contents of Willowglen Academy - Wilson are for informational purposes only.