Organization
WILLOWGLEN ACADEMY-NEW JERSEY, INC.
Active
Parent organization
WILLOWGLEN ACADEMY-NEW JERSEY, INC.
Other names
Willowglen LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WILLOWGLEN ACADEMY-NEW JERSEY, INC.
Authorized official
MR. RICHARD KOCHMAN (ASSOCIATE DIRECTOR OF FISCAL ACTIVI)
(973) 579-3700
Entity
Organization
Contact information
Practice address
8 WILSON DRIVE, SPARTA, NJ 07871-3491
(973) 579-3700
(973) 579-1786
Mailing address
8 WILSON DRIVE, SPARTA, NJ 07871-3491
(973) 579-3700
(973) 579-1786
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/03/2016
Last updated
05/03/2016
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