Organization
WILLOWGLEN ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROLAND EMEKA AGUOCHA QIDP (CLINICIAN)
(571) 251-3230
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
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/28/2016
Last updated
10/28/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us