NPI 1902071509

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) 647-0800
Fax: (908) 647-5021
Mailing address: 3415 Valley Road PO Box 825, Liberty Corner, NJ 07938-0825

Authorised official

Name: William M. Powers
Title: Ceo
Phone: (908) 647-0800

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

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Registry record

NPI: 1902071509
Entity type: Organization
NPI issued: 24 Apr 2008
Record last updated: 24 Apr 2008

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.