Willowglen Academy, Inc.

LBN: Willowglen Academy, Inc.
Willowglen Academy, Inc. is an health care organization with primary practice located at 3903 W Lisbon Ave , Milwaukee WI 53208-1835. The organization recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as the primary health care specialty. Willowglen Academy, Inc. can be contacted via phone (414) 342-2060, or through Dziubla, Leonard F via phone (414) 225-4460.

Contact Information

Primary practice address
3903 W Lisbon Ave Milwaukee WI 53208-1835
Phone: (414) 342-2060
Fax: (414) 342-3663
Website:
Map and Directions
Authorized official contact:
Name: Dziubla, Leonard F Licensed Clinical Social Worker (LCSW)
Phone: (414) 225-4460

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X 2366 Wisconsin

Profile Details

NPI number 1881745776
LBN Legal business name Willowglen Academy, Inc.
DBA Doing business as
Authorized official Dziubla, Leonard F Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2007
Last updated Aug 22nd, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1881745776 NPPES
Wisconsin Other 2366 STATE LICENSE
Wisconsin MEDICAID 43003300 STATE LICENSE

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