WILLOWGLEN ACADEMY - INDIANA NPI 1417227984

NPI Information

  • NPI: 1417227984
  • Provider Name: WILLOWGLEN ACADEMY - INDIANA
  • Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
  • Entity Type: Organization
  • Address: 2301 JEFFERSON ST
    GARY, IN
    ZIP 46407
  • Phone: (219) 886-2660

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NPI Details

WILLOWGLEN ACADEMY - INDIANA is a residential treatment facility emotionally disturbed children in Gary, IN. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. WILLOWGLEN ACADEMY - INDIANA NPI is 1417227984. The provider is registered as an organization entity type.

The provider's business location address is:

2301 JEFFERSON ST
GARY, IN
ZIP 46407-043
Phone: (219) 886-2660
Fax: (219) 886-1319

The provider's authorized official is Lorene Cameron .
The authorized official title is Executive Director and has the following contact phone number (219) 886-1320.

The enumeration date for this NPI number is 12/30/2011 and was last updated on 12/30/2011.

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
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenYes

What is NPI?

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This page was last updated on: 11/21/2025

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