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Willowglen Academy-New Jersey, Inc.

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

NPI 1275919300 · NPPES record last updated Jul 30, 2015

Key facts

NPI
1275919300
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
37 Employee Lane
New Lisbon, NJ 08064
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) 24

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

37 Employee Lane
New Lisbon, NJ 08064

Mailing address

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

Other names

  • WGA New Lisbon 2 Other name

Other providers in New Lisbon, NJ

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

Sources for this page

Verify at the official NPI Registry.