Organization · Type 2 NPI
Eastern Christian Children's Retreat
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Allendale, NJ
Practice location
135 W Crescent Ave
Allendale, NJ 07401-1503
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 | GH2161 (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.
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About NPI 1447782164
Eastern Christian Children's Retreat's National Provider Identifier is 1447782164, issued on Mar 31, 2017. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Allendale, NJ. The record was last updated on Mar 31, 2017.