WILLOWGLEN ACADEMY NPI 1437828654

NPI Information

NPI: 1437828654
Provider Name: WILLOWGLEN ACADEMY
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
622 GARVEY LN
CHATHAM, IL
ZIP 62629
Phone: (217) 697-8422
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WILLOWGLEN ACADEMY is a community based residential treatment facility mental illness in Chatham, IL. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. WILLOWGLEN ACADEMY NPI is 1437828654. The provider is registered as an organization entity type.

The provider's business location address is:

622 GARVEY LN
CHATHAM, IL
ZIP 62629-086
Phone: (217) 697-8422

The provider's authorized official is Kedrian Coleman .
The authorized official title is Director Revenue Cycle and has the following contact phone number (919) 709-0197.

The enumeration date for this NPI number is 9/10/2021 and was last updated on 9/10/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320800000X	Community Based Residential Treatment Facility, Mental Illness				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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