Organization
EASTERN CHRISTIAN CHILDREN'S RETREAT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYNE PRESS (EXECUTIVE DIRECTOR)
(201) 848-8005
Entity
Organization
Contact information
Practice address
148 WYCKOFF AVENUE, WALDWICK, NJ 07463
(201) 857-5078
Mailing address
700 MOUNTAIN AVE, WYCKOFF, NJ 07481-1047
(201) 848-8005
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
GH2162
NJ
Other
Enumeration date
12/21/2015
Last updated
12/21/2015
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