NPI 1235405689

Bonnie Brae

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Basking Ridge, NJ

Practice location

Address: 3415 Valley Rd, Basking Ridge, NJ 07920-2655
Phone: (908) 647-4702
Fax: (908) 647-5021
Mailing address: PO Box 825, Liberty Corner, NJ 07938-0825

Authorised official

Name: Ann Zouvelekis
Title: Cfo
Phone: (908) 647-4702

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 0267091 (NJ)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in New Jersey →

Registry record

NPI: 1235405689
Entity type: Organization
NPI issued: 30 Mar 2012
Record last updated: 30 Mar 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.