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Eastern Christian Children's Retreat
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Wyckoff, New Jersey
NPI 1396121513

Eastern Christian Children's Retreat is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Wyckoff, NJ. Eastern Christian Children's Retreat practices in Wyckoff, NJ. The NPI Number for Eastern Christian Children's Retreat is 1396121513 and holds a License No. GH676 (New Jersey).

The current practice location address for Eastern Christian Children's Retreat is 700 Mountain Ave, Wyckoff, NJ and can be reached out via phone at 201-848-8005 and via fax at 201-847-9619.

Location: 700 Mountain Ave, Wyckoff, NJ, 07481-1047
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1396121513
Provider Name
Eastern Christian Children's Retreat
Credential
Provider Entity Type
Organization
Address
700 Mountain Ave, Wyckoff, NJ, 07481-1047
Phone Number
201-848-8005
Fax Number
201-847-9619
Provider Enumeration Date
08/11/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
700 Mountain Ave
City
Wyckoff
State
New Jersey
Zip
07481-1047
Phone Number
201-848-8005
Fax Number
201-847-9619
person
Provider Business Mailing Address Details
Address
700 Mountain Ave
City
Wyckoff
State
New Jersey
Zip
07481-1047
Phone Number
201-848-8005
Fax Number
201-847-9619
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
GH676 (New Jersey)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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