Willowglen Academy-New Jersey, Inc.
Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Hardwick, NJ
NPI 1043695455 · NPPES record last updated Jul 27, 2015
Key facts
- NPI
- 1043695455
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- Legal business name
- WILLOWGLEN ACADEMY-NEW JERSEY, INC.
- Practice address
- 31 Stillwater Road
Hardwick, NJ 07825 - Phone
- (973) 579-3700
- Fax
- (973) 579-1786
- NPI assigned
- Jul 27, 2015
- Organization subpart
- Yes
- Parent organization (as reported)
- WILLOWGLEN ACADEMY-NEW JERSEY, INC.
Authorized official
- Name
- Mrs. Patricia Bates
- Title
- Controller
- Phone
- (973) 579-3700
Corporate family (same tax ID) 14
National Provider Directory
- Tax ID family
- Willowglen Academy-NJ Inc
- Part of
- Willowglen Academy-NJ Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Yes |
Addresses
Primary practice location
31 Stillwater Road
Hardwick, NJ 07825
Mailing address
8 Wilson Drive
Sparta, NJ 07871-3491
Phone (973) 579-3700
Other names
- WGA Hardwick
Other providers in Hardwick, NJ
All providers in Hardwick, NJ · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.