Organization · Type 2 NPI
Eastern Christian Children's Retreat
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · North Haledon, NJ
Practice location
277 N Haledon Ave
North Haledon, NJ 07508-2767
Mailing address
700 Mountain Ave
Wyckoff, NJ 07481-1047
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | GH303 (NJ) |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
About NPI 1316323710
Eastern Christian Children's Retreat's National Provider Identifier is 1316323710, issued on Aug 7, 2015. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in North Haledon, NJ. The record was last updated on Aug 7, 2015.