# EASTERN CHRISTIAN CHILDREN'S RETREAT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407511967
- **Authorized official:** LAURA LUPICA (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (201) 848-8005

## Contact information

- **Practice address:** 286 NEWTOWN RD, WYCKOFF, NJ 07481-2606
- **Practice address phone:** (201) 848-8005
- **Mailing address:** 700 MOUNTAIN AVE, WYCKOFF, NJ 07481-1099
- **Mailing address phone:** (201) 848-8005

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 11/01/2021
- **Last updated:** 05/25/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | A9109288 | — | NJ |