Willowglen Academy-New Jersey, Inc.

NPI #1114302882 in Mount Laurel, New Jersey

Provider Information

NPI Number
1114302882
Entity Type
Organization
Organization Name
Willowglen Academy-New Jersey, Inc.
Subpart
Yes (part of a larger organization)
Parent Organization
WILLOWGLEN ACADEMY-NEW JERSEY, INC.
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Jul 23, 2015
Last Updated
Jul 23, 2015

Practice Location

Address
110 LAUREL LANE WEST
ZIP Code
08054
Phone
(973) 579-3700

Authorized Official

Name
MRS. PATRICIA BATES
Title
CONTROLLER
Phone
(973) 579-3700

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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