Willowglen Academy-New Jersey, Inc.
Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Columbia, NJ
NPI 1104201540 · NPPES record last updated Jul 28, 2015
Key facts
- NPI
- 1104201540
- 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
- 288 Route 94
Columbia, NJ 07832 - Phone
- (973) 579-3700
- Fax
- (973) 579-1786
- NPI assigned
- Jul 28, 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) 16
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
288 Route 94
Columbia, NJ 07832
Mailing address
8 Wilson Drive
Sparta, NJ 07871-3491
Phone (973) 579-3700
Other names
- WGA Blairstown
Other providers in Columbia, NJ
- Brittany Trifari
- Donald Tsay
- Nicole Lee Van Orden
- Sashelle Vazquez
- Susan M White
- Nona Naegle Wolosin
- Woman to Woman Obstetric and Gynecologic Associates, P.a.
All providers in Columbia, 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 28, 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.