Organization · Type 2 NPI

Eastern Christian Children's Retreat

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Hawthorne, NJ

NPI number 1649702010 Active

Practice location

1 Rockledge Rd
Hawthorne, NJ 07506

Call (201) 848-8005 Map

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	GH2302 (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 1649702010

Eastern Christian Children's Retreat's National Provider Identifier is 1649702010, issued on Apr 3, 2017. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Hawthorne, NJ. The record was last updated on Apr 3, 2017.