# BONNIE BRAE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BONNIE BRAE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1003081605
- **Legal business name:** BONNIE BRAE
- **Authorized official:** MR. WILLIAM M. POWERS (CFO)
- **Authorized official phone:** (908) 647-0800

## Contact information

- **Practice address:** 3415 VALLEY RD, BASKING RIDGE, NJ 07920-2655
- **Practice address phone:** (908) 647-0800
- **Practice address fax:** (908) 647-5021
- **Mailing address:** 3415 VALLEY ROAD, PO BOX 825, LIBERTY CORNER, NJ 07938-0825
- **Mailing address phone:** (908) 647-0800
- **Mailing address fax:** (908) 647-5021

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | NJ | Yes |

## Other

- **Enumeration date:** 04/24/2008
- **Last updated:** 04/24/2008