| Willowglen Academy-in, Inc | |
|
4955 Broadway Gary IN 46409-2706 | |
| (219) 886-1320 | |
| Not Available |
| Full Name | Willowglen Academy-in, Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 4955 Broadway, 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 |
|---|---|
| Willowglen Academy-in, Inc 308 E 21st Ave Gary IN 46407-2618 Ph: (219) 886-1320 | Willowglen Academy-in, Inc 4955 Broadway Gary IN 46409-2706 Ph: (219) 886-1320 |
| NPI Number | 1972933349 |
|---|---|
| Provider Enumeration Date | 11/20/2013 |
| Last Update Date | 11/20/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972933349 | NPI | - | NPPES |
| 200185860 | Medicaid | IN |
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