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Organization
BONNIE BRAE
Active
Organization
BONNIE BRAE
Active
Other names
Bonnie Brae
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANN ZOUVELEKIS (CFO)
(908) 647-4702
Entity
Organization
Contact information
Practice address
3415 VALLEY RD, BASKING RIDGE, NJ 07920-2655
(908) 647-4702
(908) 647-5021
Mailing address
PO BOX 825, LIBERTY CORNER, NJ 07938-0825
(908) 647-4702
(908) 647-5021
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
0267091
NJ
Other
Enumeration date
03/30/2012
Last updated
03/30/2012
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