Organization · Type 2 NPI

Bonnie Brae

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

NPI number 1912063702 Active

Practice location

3415 Valley Road
Liberty Corner, NJ 07938

Fax (908) 647-5021

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 1912063702

Bonnie Brae's National Provider Identifier is 1912063702, issued on Dec 28, 2006. 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 Jul 21, 2022.