Organization
WINDMILL ALLIANCE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANN D TASSONE-DOST (ASSISTANT EXECUTIVE DIRECTOR, WMA)
(201) 858-4460
Entity
Organization
Contact information
Practice address
331 BROADWAY APT 5, BAYONNE, NJ 07002-3548
(201) 858-4460
(201) 443-2427
Mailing address
141 BROADWAY, BAYONNE, NJ 07002-2459
(201) 858-4460
(201) 443-2427
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
SA1320
—
Other
Enumeration date
07/21/2017
Last updated
07/21/2017
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