Organization · Type 2 NPI
Eastern Christian Children's Retreat
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Wyckoff, NJ
Practice location
700 Mountain Ave.
Wyckoff, NJ 07481-1047
Fax (201) 847-9619
Mailing address
700 Mountain Ave
Wyckoff, NJ 07481-1047
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | PRF102 (NJ) |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
Other intellectual and/or developmental disabilities residential treatment facility providers in Wyckoff
About NPI 1699292631
Eastern Christian Children's Retreat's National Provider Identifier is 1699292631, issued on Aug 29, 2017. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Wyckoff, NJ. The record was last updated on Jul 21, 2022.