Organization · Type 2 NPI
Bonnie Brae
Mental Illness Community Based Residential Treatment Facility · Baking Ridge, NJ
NPI number
1245689686
Active
Practice location
3415 Valley Road
Baking Ridge, NJ 07920-2655
Fax (908) 647-5021
Mailing address
PO Box 825
Liberty Corner, NJ 07938-0825
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | 1060 (NJ) |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Another provider at this address
About NPI 1245689686
Bonnie Brae's National Provider Identifier is 1245689686, issued on Jun 7, 2016. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Baking Ridge, NJ. The record was last updated on Jun 7, 2016.