| NPI | 1619147048 |
|---|---|
| Other Name | WILLOWGLEN ACADEMY OUTPATIENT CLINIC |
| Entity Type | Organization |
| Authorized Contact | SHANNA MALONEY Director Of Outpatient Services 414-445-9180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: WI 2004) |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2014-06-19 |