OrganizationActive
Willowglen Academy - Indiana
NPI 1144353715 · Emotionally Disturbed Childrens' Residential Treatment Facility · Gary, IN
Provider details
- NPI number
- 1144353715
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Dwayne Mueller, Executive Director(219) 886-1320
- License
- 33456 (IN)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
308 E 21st Ave
Gary, IN 46407-2618
Phone: (219) 886-1320
Fax: (219) 886-1319
Approximate (ZIP-level) locationGet directions
Mailing address
308 E 21st Ave
Gary, IN 46407-2618
Registry dates
- Enumerated
- 2007-03-13
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.