WILLOWGLEN ACADEMY INC NPI 1619147048

NPI Information

WILLOWGLEN ACADEMY INC is a clinic center in Milwaukee, WI. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). WILLOWGLEN ACADEMY INC NPI is 1619147048. The provider is registered as an organization entity type.
The provider Other Name Is Willowglen Academy Outpatient Clinic.

The provider's business location address is:

4065 N 35TH ST
SUITE N100
MILWAUKEE, WI
ZIP 53216-705
Phone: (414) 445-9180
Fax: (414) 445-5995

The provider's authorized official is Shanna Maloney .
The authorized official title is Director Of Outpatient Services and has the following contact phone number (414) 445-9180.

The enumeration date for this NPI number is 2/29/2008 and was last updated on 6/19/2014.

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:

Other Identifiers

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