NPI 1831522523
Bonnie Brae
Practice location
- Address
- 3415 Valley Rd, Basking Ridge, NJ 07920-2655
- Phone
- (908) 542-2735
- Fax
- (908) 647-5021
- Mailing address
- PO Box 825, Liberty Corner, NJ 07938-0825
Authorised official
- Name
- Megan Jill Macdonald
- Title
- Accountant
- Phone
- (908) 542-2735
Registered specialties
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
Registry record
- NPI
- 1831522523
- Entity type
- Organization
- NPI issued
- 16 Aug 2013
- Record last updated
- 16 Aug 2013
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.