Organization
BONNIE BRAE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM POWERS MPH,MPA (CEO)
(908) 542-2732
Entity
Organization
Contact information
Practice address
3415 VALLEY ROAD, BONNIE BRAE, LIBERTY CORNER, NJ 07938
(908) 542-2732
(908) 604-8869
Mailing address
3415 VALLEY ROAD, BONNIE BRAE, LIBERTY CORNER, NJ 07938
(908) 542-2732
(908) 604-8869
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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