Bonnie Brae
NPI #1508220922 in Liberty Corner, New Jersey
Provider Information
- NPI Number
- 1508220922
- Entity Type
- Organization
- Organization Name
- Bonnie Brae
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Enumeration Date
- Apr 12, 2016
- Last Updated
- Apr 12, 2016
Practice Location
- Address
- 3415 VALLEY ROAD
- City
- Liberty Corner
- State
- New Jersey
- ZIP Code
- 07938-0825
- Phone
- (908) 647-0800
Authorized Official
- Name
- MR. WILLIAM M. POWERS, MHA, MPA
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (908) 647-0800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Emotionally Disturbed Children |
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