| Organization Name: | THE WILLOW TREE CENTER |
| NPI Number: | 1033599493 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHARLES BERMAN (ASSOCIATE DIRECTOR) |
| Mailing Address: | 415 Speedwell Ave Morris Plains |
| State: | NJ US |
| Postal Code: | 079502100 |
| Phone Number: | 9736828733 |
| Fax Number: | 9736828734 |
| NPI Enumeration Date: | 06/01/2015 |
| NPI Last Update Date: | 06/01/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0405X |
| License Number: | 2000195 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
| Taxonomy Definition: | |