Organization · Type 2 NPI

Willowglen Academy-New Jersey, Inc.

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Sparta, NJ

NPI number 1679928139 Active

Practice location

8 Wilson Drive
Sparta, NJ 07871-3491

Fax (973) 579-1786

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.

Another provider at this address

Willowglen Academy -Nj, Inc.Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Sparta, NJ NPI 1225236185

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NPI record

NPI: 1679928139
Entity type: Organization (Type 2)
Issued: May 3, 2016
Last updated: May 3, 2016
Status: Active
Subpart: Yes of Willowglen Academy-New Jersey, Inc.

Other names

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Willowglen LLC · other name

Authorized official

Mr. Richard Kochman
Associate Director of Fiscal Activi
(973) 579-3700

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About NPI 1679928139

Willowglen Academy-New Jersey, Inc.'s National Provider Identifier is 1679928139, issued on May 3, 2016. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Sparta, NJ. The record was last updated on May 3, 2016.