# BONNIE BRAE

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

## Provider details

- **NPI number:** 1831448414
- **Authorized official:** MR. WILLIAM POWERS MPH,MPA (CEO)
- **Authorized official phone:** (908) 542-2732

## Contact information

- **Practice address:** 3415 VALLEY ROAD, BONNIE BRAE, LIBERTY CORNER, NJ 07938
- **Practice address phone:** (908) 542-2732
- **Practice address fax:** (908) 604-8869
- **Mailing address:** 3415 VALLEY ROAD, BONNIE BRAE, LIBERTY CORNER, NJ 07938
- **Mailing address phone:** (908) 542-2732
- **Mailing address fax:** (908) 604-8869

## Taxonomy

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

## Other

- **Enumeration date:** 08/29/2012
- **Last updated:** 08/29/2012