Provider Demographics
NPI:1982574604
Name:WILLOW TREATMENT AND RECOVERY CENTER, LLC
Entity type:Organization
Organization Name:WILLOW TREATMENT AND RECOVERY CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:S
Authorized Official - Last Name:ENGLISH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-852-3690
Mailing Address - Street 1:3919 MADISON AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46227-1383
Mailing Address - Country:US
Mailing Address - Phone:317-852-3690
Mailing Address - Fax:317-852-2790
Practice Address - Street 1:3919 MADISON AVE STE 100
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46227-1383
Practice Address - Country:US
Practice Address - Phone:317-852-3690
Practice Address - Fax:317-852-2790
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WILLOW TREATMENT AND RECOVERY CENTER, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-11-07
Last Update Date:2025-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty