NPI | 1598898603 |
---|---|
Former Legal Business Name | WILLOWGLEN ACADEMY |
Entity Type | Organization |
Authorized Contact | PATTY BATES Accounting Manager 973-579-3700 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
Enumeration Date | 2007-03-14 |
Last Update Date | 2023-05-09 |