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Organization
BROADSTEP ACADEMY-NEW JERSEY, INC.
Active
Organization
BROADSTEP ACADEMY-NEW JERSEY, INC.
Active
Other names
Willowglen Academy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATTY BATES (ACCOUNTING MANAGER)
(973) 579-3700
Entity
Organization
Contact information
Practice address
8 WILSON DR., SPARTA, NJ 07871-3491
(973) 579-3700
(973) 579-1786
Mailing address
8 WILSON DR., SPARTA, NJ 07871
(973) 579-3700
(973) 579-1786
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8374104
—
NJ
05
—
8374503
—
NJ
05
—
8378304
—
NJ
05
—
8401403
—
NJ
Enumeration date
03/14/2007
Last updated
05/09/2023
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