Willowglen Academy-in, Inc. | |
308 E 21st Ave Gary IN 46407-2618 | |
(219) 886-1320 | |
Not Available |
Full Name | Willowglen Academy-in, Inc. |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 308 E 21st Ave, Gary, Indiana |
Authorized Official Name and Position | Catherine Anderson (CLINICAL MANAGER) |
Authorized Official Contact | 2198861320 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Willowglen Academy-in, Inc. 308 E 21st Ave Gary IN 46407-2618 Ph: (219) 886-1320 | Willowglen Academy-in, Inc. 308 E 21st Ave Gary IN 46407-2618 Ph: (219) 886-1320 |
NPI Number | 1376974246 |
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Provider Enumeration Date | 12/03/2013 |
Last Update Date | 12/03/2013 |
Identifier | Type | State | Issuer |
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1376974246 | NPI | - | NPPES |
200185860 | Medicaid | IN |
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