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Organization
BONNIE BRAE
Active
Organization
BONNIE BRAE
Active
Parent organization
BONNIE BRAE
Organization subpart
Yes
Provider details
NPI number
Legal business name
BONNIE BRAE
Authorized official
MR. WILLIAM M. POWERS (CEO)
(908) 647-0800
Entity
Organization
Contact information
Practice address
3415 VALLEY RD, BASKING RIDGE, NJ 07920-2655
(908) 647-0800
(908) 647-5021
Mailing address
3415 VALLEY ROAD, PO BOX 825, LIBERTY CORNER, NJ 07938-0825
(908) 647-0800
(908) 647-5021
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
NJ
Other
Enumeration date
04/24/2008
Last updated
04/24/2008
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