Organization
WILLOWGLEN ACADEMY - NEW JERSEY. INC.
Active
Parent organization
PHOENIX CARE SYSTEMS, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHOENIX CARE SYSTEMS, INC.
Authorized official
PATTY BATES (FINANCE DIRECTOR)
(973) 579-3700
Entity
Organization
Contact information
Practice address
8 WILSON DR, SPARTA, NJ 07871-3400
(973) 579-3700
(973) 579-1786
Mailing address
8 WILSON DR, SPARTA, NJ 07871-3400
(973) 579-3700
(973) 579-1786
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0479896
—
NJ
Enumeration date
06/05/2018
Last updated
06/16/2018
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