Willowglen Academy

LBN: Willowglen Academy
Willowglen Academy is an health care organization with primary practice located at 1905 Montana Dr Ste 20 , Springfield IL 62704-7009. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Willowglen Academy can be contacted via phone (217) 496-2433, or through Coleman, Kedrian via phone (919) 709-0197.

Contact Information

Primary practice address
1905 Montana Dr Ste 20 Springfield IL 62704-7009
Phone: (217) 496-2433
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Coleman, Kedrian
Phone: (919) 709-0197

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1649947920
LBN Legal business name Willowglen Academy
DBA Doing business as
Authorized official Coleman, Kedrian
Entity Organization
Organization subpart 1 No
Enumeration date Aug 25th, 2021
Last updated Aug 25th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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