Organization
BONNIE BRAE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL RIEGER MSW (CEO)
(908) 647-4719
Entity
Organization
Contact information
Practice address
3415 VALLEY ROAD, LIBERTY CORNER, NJ 07938
(908) 647-0800
(908) 604-0741
Mailing address
PO BOX 825, LIBERTY CORNER, NJ 07938-0825
(908) 647-0800
(908) 604-0741
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/11/2022
Last updated
01/11/2022
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