Organization
WILLOWGLEN ACADEMY - WILSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA SANDEE MS (DIRECTOR OF RESIDENTIAL SERVICES)
(414) 527-6940
Entity
Organization
Contact information
Practice address
3603 S BUSINESS DR, SHEBOYGAN, WI 53081-7096
(920) 458-6640
(866) 458-6678
Mailing address
3603 S BUSINESS DR, SHEBOYGAN, WI 53081-7096
(920) 458-6640
(866) 458-6678
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/20/2007
Last updated
02/11/2009
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