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WGA TALLOWOOD
NPI 1457736126
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Medford, NJ

Active since July 23, 2015
96 TALLOWOOD DRIVE, MEDFORD, NJ 08055(973) 579-3700(973) 579-1786 Get Directions Write a Review

NPPES record last updated: July 23, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wga Tallowood NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WGA TALLOWOOD (NPI 1457736126) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Medford, New Jersey and active in the NPI registry since July 2015. The organization lists Patricia Bates, Controller, as its authorized official.

NPPES Registry Identity

NPI1457736126
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameWILLOWGLEN ACADEMY-NEW JERSEY, INC.
Location Address96 TALLOWOOD DRIVEMedford, NJ 08055
Mailing Address8 Wilson DriveSparta, NJ 07871-3491 · (973) 579-3700 · Fax (973) 579-1786
Phone(973) 579-3700
Fax(973) 579-1786
Organization SubpartYes
Authorized OfficialPatricia BatesController · (973) 579-3700
Enumeration DateJuly 23, 2015
✔ NPI 1457736126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
96 TALLOWOOD DRIVE, Medford, NJ 08055
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Other Names 1

Other NameWga Tallowood

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Willowglen Academy-New Jersey, Inc.'s NPI number?

The NPI number for Willowglen Academy-New Jersey, Inc. is 1457736126. It was assigned to this organization in the NPPES registry on July 23, 2015. The provider is also known as Wga Tallowood.

Where is Willowglen Academy-New Jersey, Inc. located?

Willowglen Academy-New Jersey, Inc. is located at 96 Tallowood Drive, Medford, NJ 08055. The listed phone number is (973) 579-3700.

What is Willowglen Academy-New Jersey, Inc.'s specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Willowglen Academy-New Jersey, Inc. was last updated on July 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.