Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Willowglen Academy - Indiana

Organization Emotionally Disturbed Childrens' Residential Treatment Facility · NPI 1073788113

Willowglen Academy - Indiana is an Emotionally Disturbed Childrens' Residential Treatment Facility in Gary, Indiana. Licensed in Indiana. Registered with an NPI since 2008.

Licensed in
IN
In the registry since
2008

Practice location Address checks out

308 E 21st Ave
Gary, IN 46407-2618
Phone: (219) 886-1320
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emotionally Disturbed Childrens' Residential Treatment Facility (primary) Taxonomy 322D00000X · Licence 33456 (IN)

Record details

NPI number1073788113
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPhonenix Care System
Authorized official Dwayne Mueller — Executive Director · (219) 886-1320
NPI enumeratedApril 29, 2008
Last updated in NPPESJune 17, 2008
Mailing address308 E 21st Ave, Gary, IN 46407-2618

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