Organization · Type 2 NPI
Willowglen Academy-New Jersey, Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Medford, NJ
Practice location
96 Tallowood Drive
Medford, NJ 08055
Fax (973) 579-1786
Mailing address
8 Wilson Drive
Sparta, NJ 07871-3491
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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About NPI 1457736126
Willowglen Academy-New Jersey, Inc.'s National Provider Identifier is 1457736126, issued on Jul 23, 2015. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Medford, NJ. The record was last updated on Jul 23, 2015.