Organization · Type 2 NPI

Bonnie Brae

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

NPI number 1003081605 Active

Practice location

3415 Valley Rd
Basking Ridge, NJ 07920-2655

Fax (908) 647-5021

Mailing address

3415 Valley Road, PO Box 825
Liberty Corner, NJ 07938-0825

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000XNone listed

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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About NPI 1003081605

Bonnie Brae's National Provider Identifier is 1003081605, issued on Apr 24, 2008. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Basking Ridge, NJ. The record was last updated on Apr 24, 2008.