NPI 1245689686

Bonnie Brae

Organisation Mental Illness Community Based Residential Treatment Facility Baking Ridge, NJ

Practice location

Address: 3415 Valley Road, Baking Ridge, NJ 07920-2655
Phone: (908) 647-0800
Fax: (908) 647-5021
Mailing address: PO Box 825, Liberty Corner, NJ 07938-0825

Authorised official

Name: Megan Jill Macdonald
Title: Accountant
Phone: (908) 542-2736

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence 1060 (NJ)

Other Community Based Residential Treatment Facility, Mental Illness providers in New Jersey →

Registry record

NPI: 1245689686
Entity type: Organization
NPI issued: 7 Jun 2016
Record last updated: 7 Jun 2016

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.