# WILLOW BEND CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851458087
- **Authorized official:** MS. BARBARA J LINTON (EXECUTIVE ASSISTANT TO CEO)
- **Authorized official phone:** (903) 236-4577

## Contact information

- **Practice address:** 407 E MARSHALL AVE, LONGVIEW, TX 75601-5423
- **Practice address phone:** (903) 236-4577
- **Practice address fax:** (903) 236-0246
- **Mailing address:** 407 E MARSHALL AVE, LONGVIEW, TX 75601-5423
- **Mailing address phone:** (903) 236-4577
- **Mailing address fax:** (903) 236-0246

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 849142 | TX | Yes |

## Other

- **Enumeration date:** 01/03/2007
- **Last updated:** 08/22/2020