Organization
WILLOWGLEN ACADEMY - NJ, INC.
Active
Other names
Hampton Group Home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEAN M MANFRA (EXECUTIVE DIRECTOR)
(973) 579-3700
Entity
Organization
Contact information
Practice address
8 WILSON DR, SPARTA, NJ 07871-3400
(973) 579-3700
Mailing address
8 WILSON DR, SPARTA, NJ 07871-3400
(973) 579-3700
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8374503
—
NJ
Enumeration date
01/30/2009
Last updated
01/30/2009
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