OrganizationActive
Bonnie Brae
NPI 1003081605 · Emotionally Disturbed Childrens' Residential Treatment Facility · Basking Ridge, NJ
Provider details
- NPI number
- 1003081605
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Parent organization
- Bonnie Brae
- Organization subpart
- Yes
- Authorized official
- William Powers, Cfo(908) 647-0800
Specialties & taxonomies
Residential Treatment Facilities
Practice location
3415 Valley Rd
Basking Ridge, NJ 07920-2655
Phone: (908) 647-0800
Fax: (908) 647-5021
Approximate (ZIP-level) locationGet directions
Mailing address
3415 Valley Road
Liberty Corner, NJ 07938-0825
Registry dates
- Enumerated
- 2008-04-24
- Last updated
- 2008-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.