Organization · Type 2 NPI

Broadstep Academy-New Jersey, Inc.

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

NPI number 1821474966 Active

Practice location

11 Lebanon Trail
Hopatcong, NJ 07843

Call (973) 579-3700 Map

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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NPI record

NPI: 1821474966
Entity type: Organization (Type 2)
Issued: Jul 30, 2015
Last updated: Jun 25, 2020
Status: Active
Subpart: Yes of Willowglen Academy-New Jersey, Inc.

Other names

<unavail>
Wga Hopatcong · other name
Wga Hopatcong · other name

Authorized official

Mrs. Patricia Bates
Controller
(973) 579-3700

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About NPI 1821474966

Broadstep Academy-New Jersey, Inc.'s National Provider Identifier is 1821474966, issued on Jul 30, 2015. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Hopatcong, NJ. The record was last updated on Jun 25, 2020.