Willowglen Academy-Nj Inc in Sparta - Residential Treatment Facility, Emotionally Disturbed Children
Willowglen Academy-Nj Inc - NPI 1164684148
Willowglen Academy-Nj Inc is a Residential Treatment Facility, Emotionally Disturbed Children in Sparta, New Jersey. Willowglen Academy-Nj Inc practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Willowglen Academy-Nj Inc is 1164684148. The last update date is 2008-06-30.
Willowglen Academy-Nj Inc's current location address is 8 Wilson Dr, Sparta, New Jersey. You can contact this provider via phone number 9735793700 and fax number 9735791786. The mailing address for Willowglen Academy-Nj Inc is 8 Wilson Dr, Sparta, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Willowglen Academy-Nj Inc |
|---|---|
| Address | 8 Wilson Dr, Sparta, New Jersey |
| Phone Number | 9735793700 |
| Fax Number | 9735791786 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ASSOCIATE |
|---|---|
| Authorized Official Name | Kochman Richard |
| Telephone Number | 9735793700 |
NPI Number Detail
| NPI Number | 1164684148 |
|---|---|
| Provider Enumeration Date | 2008-06-30 |
| Last Updated Date | 2008-06-30 |
Provider Mailing Address Detail
| Address | 8 Wilson Dr |
|---|---|
| City | Sparta |
| State | New Jersey (NJ) |
| Post Code | 78713400 |
| Phone Number | 9735793700 |
| Fax Number | 9735791786 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
|
Definition: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8374104 | NJ | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Willowglen Academy-Nj Inc by the Centers for Medicare & Medicaid Services?
The Willowglen Academy-Nj Inc has been assigned the NPI (National Provider Identifier) 1164684148. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Willowglen Academy-Nj Inc?
The Willowglen Academy-Nj Inc is physically situated at 8 Wilson Dr, in the city of Sparta, state of NJ, with the postal code 78713400.
What is Willowglen Academy-Nj Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Willowglen Academy-Nj Inc's area of specialization is Residential Treatment Facility, Emotionally Disturbed Children, and the corresponding taxonomy code that categorizes this field of practice is 322D00000X.
When was the Willowglen Academy-Nj Inc's 1164684148 issued?
The Willowglen Academy-Nj Inc's 1164684148 was issued on 2008-06-30.
As of what date were the Willowglen Academy-Nj Inc's details last updated?
The information pertaining to the Willowglen Academy-Nj Inc, including its address, specialty, and other details, was most recently updated on 2008-06-30.
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