# BROADSTEP ACADEMY-NEW JERSEY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Willowglen Academy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598898603
- **Authorized official:** MS. PATTY BATES (ACCOUNTING MANAGER)
- **Authorized official phone:** (973) 579-3700

## Contact information

- **Practice address:** 8 WILSON DR., SPARTA, NJ 07871-3491
- **Practice address phone:** (973) 579-3700
- **Practice address fax:** (973) 579-1786
- **Mailing address:** 8 WILSON DR., SPARTA, NJ 07871
- **Mailing address phone:** (973) 579-3700
- **Mailing address fax:** (973) 579-1786

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | NULL | — |

## Other

- **Enumeration date:** 03/14/2007
- **Last updated:** 05/09/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 8374104 | — | NJ |
| 05 | — | 8374503 | — | NJ |
| 05 | — | 8378304 | — | NJ |
| 05 | — | 8401403 | — | NJ |