Bonnie Brae Residential Treatment Center
LBN: Bonnie Brae
Bonnie Brae Residential Treatment Center is an health care organization with primary practice located at 3415 Valley Road , Liberty Corner NJ 07938. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty.
Bonnie Brae can be contacted via phone (908) 647-0800, or through Powers, William M. via phone (908) 647-0800.
Contact Information
Primary practice address
3415 Valley Road
Liberty Corner NJ 07938
Phone: (908) 647-0800
Fax: (908) 647-5021
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children | 322D00000X | New Jersey |
Profile Details
| NPI number | 1912063702 |
|---|---|
| LBN Legal business name | Bonnie Brae |
| DBA Doing business as | Bonnie Brae Residential Treatment Center |
| Authorized official | Powers, William M. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 28th, 2006 |
| Last updated | Jul 21st, 2022 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912063702 | NPPES |
| New Jersey | MEDICAID | 0032506 | |
| New Jersey | MEDICAID | 0073661 | |
| New Jersey | MEDICAID | 8372403 |
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