Willowglen Academy-New Jersey, Inc.

Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Newton, NJ

NPI 1215313341 · NPPES record last updated Oct 7, 2015

Key facts

NPI
1215313341
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
71B Trinity Street
Newton, NJ 07860
Phone
(973) 579-3700
Fax
(973) 579-1786
NPI assigned
Jul 30, 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) 22

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Willowglen Academy-NJ Inc (60 organizations share this tax ID)
Part of
Willowglen Academy-NJ Inc

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Yes

Addresses

Primary practice location

71B Trinity Street
Newton, NJ 07860

Mailing address

8 Wilson Drive
Sparta, NJ 07871-3491
Phone (973) 579-3700

Other names

  • WGA Trinity Other name

Other providers in Newton, NJ

All providers in Newton, NJ · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in New Jersey

Sources for this page

Verify at the official NPI Registry.