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Organization

WILLOWGLEN ACADEMY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ABIGAIL LYN HOOKS (QMRP)
(815) 233-6162
Entity
Organization

Contact information

Practice address
701 W LAMM RD, FREEPORT, IL 61032-9630
(815) 233-6162
(815) 233-6167
Mailing address
701 W LAMM RD, FREEPORT, IL 61032-9630
(815) 233-6162
(815) 233-6167

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
IL

Other

Enumeration date
03/27/2008
Last updated
03/27/2008
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