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Bonnie Brae
Emotionally Disturbed Childrens' Residential Treatment Facility in Liberty Corner, New Jersey
NPI 1912063702

Bonnie Brae is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Liberty Corner, NJ. Bonnie Brae practices in Liberty Corner, NJ. The NPI Number for Bonnie Brae is 1912063702 and holds a License No. (New Jersey).

The current practice location address for Bonnie Brae is 3415 Valley Road, Liberty Corner, NJ and can be reached out via phone at 908-647-0800 and via fax at 908-647-5021.

Location: 3415 Valley Road, Liberty Corner, NJ, 07938
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912063702
Provider Name
Bonnie Brae
Credential
Provider Entity Type
Organization
Address
3415 Valley Road, Liberty Corner, NJ, 07938
Phone Number
908-647-0800
Fax Number
908-647-5021
Provider Enumeration Date
12/28/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
0032506 05 NJ
0073661 05 NJ
8372403 05 NJ
institution
Provider Business Practice Location Address Details
Address
3415 Valley Road
City
Liberty Corner
State
New Jersey
Zip
07938
Phone Number
908-647-0800
Fax Number
908-647-5021
person
Provider Business Mailing Address Details
Address
3415 Valley Road
City
Liberty Corner
State
New Jersey
Zip
07938
Phone Number
908-647-0800
Fax Number
908-647-5021
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
(New Jersey)
Definition
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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