NPI 1164684148

Willowglen Academy-Nj INC

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Sparta, NJ

Practice location

Address: 8 Wilson Dr, Sparta, NJ 07871-3400
Phone: (973) 579-3700
Fax: (973) 579-1786

Authorised official

Name: Richard Kochman
Title: Associate Director of Fiscal Affair
Phone: (973) 579-3700

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

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Registry record

NPI: 1164684148
Entity type: Organization
NPI issued: 30 Jun 2008
Record last updated: 30 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.