Organization · Type 2 NPI

Bonnie Brae

Emotionally Disturbed Childrens' Residential Treatment Facility · Liberty Corner, NJ

NPI number 1508220922 Active

Practice location

3415 Valley Road
Liberty Corner, NJ 07938-0825

Fax (908) 647-5021

Mailing address

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 1508220922

Bonnie Brae's National Provider Identifier is 1508220922, issued on Apr 12, 2016. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Liberty Corner, NJ. The record was last updated on Apr 12, 2016.