Eastern Christian Children'S Retreat
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Wyckoff, New Jersey
1164808572- Practice location
- 351 Sicomac Ave, Wyckoff, NJ 07481-2126
- Phone
- 201-848-8005
- Fax
- —
- Last updated
- April 7, 2023
Eastern Christian Children'S Retreat is a healthcare organization based in Wyckoff, NJ. Eastern Christian Children'S Retreat practices in Wyckoff, NJ. The NPI Number for Eastern Christian Children'S Retreat is 1164808572 and holds a License No. SA898 (NJ). The current practice location address for Eastern Christian Children'S Retreat is 351 Sicomac Ave, Wyckoff, NJ 07481-2126 and can be reached out via phone at 201-848-8005.
Provider Profile Details
- NPI Number
- 1164808572
- Provider Name
- Eastern Christian Children'S Retreat
- Provider Entity Type
- Organization
- Address
- 351 Sicomac Ave, Wyckoff, NJ 07481-2126
- Phone Number
- 201-848-8005
- Primary Taxonomy
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320900000X
- Organization Subpart
- No
- Authorized Official
- Laura Lupica · Chief Operating Officer · 201-848-8005
- Provider Enumeration Date
- August 7, 2015
- Last Update Date
- April 7, 2023
- Certification Date
- April 7, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 351 Sicomac Ave
Wyckoff, NJ 07481-2126 - City
- Wyckoff
- State
- New Jersey
- Zip
- 07481-2126
- Phone Number
- 201-848-8005
Provider Business Mailing Address Details
- Address
- 700 Mountain Ave
Wyckoff, NJ 07481-1047 - City
- Wyckoff
- State
- NJ
- Zip
- 07481-1047
- Phone Number
- 201-848-8005
- Fax Number
- 201-847-9619
License Information
- License Number
- SA898
- License State
- NJ
- Taxonomy
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320900000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers near Wyckoff, NJ
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Frequently Asked Questions
What is the NPI number of Eastern Christian Children'S Retreat?
The NPI number of Eastern Christian Children'S Retreat is 1164808572. It was assigned on August 7, 2015 and is currently active in the NPPES registry.
What is the specialty of Eastern Christian Children'S Retreat?
Eastern Christian Children'S Retreat is registered under the primary taxonomy Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (code 320900000X), licensed in NJ under license number SA898.
Where does Eastern Christian Children'S Retreat practice?
The practice location is 351 Sicomac Ave, Wyckoff, NJ 07481-2126. The office can be reached at 201-848-8005 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164808572 directly on the NPPES registry website.