| Willowglen Academy - New Jersey. Inc. | |
|
8 Wilson Dr Sparta NJ 07871-3400 | |
| (973) 579-3700 | |
| (973) 579-1786 |
| Full Name | Willowglen Academy - New Jersey. Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 8 Wilson Dr, Sparta, New Jersey |
| Authorized Official Name and Position | Patty Bates (FINANCE DIRECTOR) |
| Authorized Official Contact | 9735793700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willowglen Academy - New Jersey. Inc. 8 Wilson Dr Sparta NJ 07871-3400 Ph: (973) 579-3700 | Willowglen Academy - New Jersey. Inc. 8 Wilson Dr Sparta NJ 07871-3400 Ph: (973) 579-3700 |
| NPI Number | 1730671686 |
|---|---|
| Provider Enumeration Date | 06/05/2018 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730671686 | NPI | - | NPPES |
| 0479896 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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