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
700 MOUNTAIN AVE, WYCKOFF, NJ 07481-1047
(201) 848-8005
(201) 847-9619
Mailing address
700 MOUNTAIN AVE, WYCKOFF, NJ 07481-1047
(201) 848-8005
(201) 847-9619
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
NJ
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
NJ
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
NJ
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
NJ
Other
Enumeration date
05/07/2013
Last updated
05/07/2013
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