Provider Demographics
NPI:1134503956
Name:WINDMILL ALLIANCE INC
Entity Type:Organization
Organization Name:WINDMILL ALLIANCE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JOANN
Authorized Official - Middle Name:D
Authorized Official - Last Name:TASSONE-DOST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-858-4460
Mailing Address - Street 1:141 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:BAYONNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07002-2459
Mailing Address - Country:US
Mailing Address - Phone:201-858-4460
Mailing Address - Fax:201-443-2427
Practice Address - Street 1:331 BROADWAY
Practice Address - Street 2:
Practice Address - City:BAYONNE
Practice Address - State:NJ
Practice Address - Zip Code:07002-3530
Practice Address - Country:US
Practice Address - Phone:201-880-7163
Practice Address - Fax:201-880-5722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-10
Last Update Date:2015-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJSA1320320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities