Willowglen Academy-New Jersey, Inc.
NPI #1457736126 in Medford, New Jersey
Provider Information
- NPI Number
- 1457736126
- 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
- 96 TALLOWOOD DRIVE
- City
- Medford
- State
- New Jersey
- ZIP Code
- 08055
- 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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