WILLOWGLEN ACADEMY-NEW JERSEY INC. NPI 1174909204

NPI Information

WILLOWGLEN ACADEMY-NEW JERSEY, INC. is a community based residential treatment facility, intellectual and/or developmental disabilities in Sussex, NJ. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. WILLOWGLEN ACADEMY-NEW JERSEY, INC. NPI is 1174909204. The provider is registered as an organization entity type.
The provider Other Name Is Wga Alpine 2.

The provider's business location address is:

4 CENTER STREET BUILDING 12 APT. #6
SUSSEX, NJ
ZIP 07461
Phone: (973) 579-3700
Fax: (973) 579-1786

The provider's authorized official is Patricia Bates .
The authorized official title is Controller and has the following contact phone number (973) 579-3700.

The enumeration date for this NPI number is 7/30/2015 and was last updated on 7/30/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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