Willowglen Academy-New Jersey, INC.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Sussex, NJ. Organization (NPI-2).

NPI number1871978288

StatusActive

Last updated in NPPESJul 29, 2015

Details

NPI: 1871978288
Entity type: Organization (NPI-2)
Legal business name: Willowglen Academy-New Jersey, INC.
Organization subpart: Yes
Enumeration date: Jul 27, 2015
Last updated: Jul 29, 2015

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	–	–	Yes

Other names

Wga Center Ecs (Other Name)

Practice location

4 Center Street
Apt. 36 & 30
Sussex, NJ 07461

Phone 973-579-3700 · Fax 973-579-1786

Mailing address

8 Wilson Drive
Sparta, NJ 07871-3491

Phone 973-579-3700 · Fax 973-579-1786

Authorized official

Patricia Bates
Controller
9735793700

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility providers in Sussex, NJ

All 6 Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility providers in Sussex · All 96 providers in Sussex

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