OrganizationActive
Willowglen Academy - Indiana
NPI 1487858411 · Adolescent and Children Mental Health Clinic/Center · Gary, IN
Provider details
- NPI number
- 1487858411
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Dwayne Mueller, Executive Director(219) 886-1320
- License
- 53769 (IN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
308 E 21st Ave
Gary, IN 46407-2618
Phone: (219) 886-1320
Approximate (ZIP-level) locationGet directions
Mailing address
308 E 21st Ave
Gary, IN 46407-2618
Registry dates
- Enumerated
- 2007-06-13
- 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.