OrganizationActive
Bonnie Brae
NPI 1235405689 · Emotionally Disturbed Childrens' Residential Treatment Facility · Basking Ridge, NJ
Provider details
- NPI number
- 1235405689
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Ann Zouvelekis, Cfo(908) 647-4702
- License
- 0267091 (NJ)
Specialties & taxonomies
- Emotionally Disturbed Childrens' Residential Treatment FacilityPrimary322D00000XLicense 0267091 (NJ)
Residential Treatment Facilities
Practice location
3415 Valley Rd
Basking Ridge, NJ 07920-2655
Phone: (908) 647-4702
Fax: (908) 647-5021
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 825
Liberty Corner, NJ 07938-0825
Other names (DBA / former)
- Doing business as
- Bonnie Brae
Registry dates
- Enumerated
- 2012-03-30
- Last updated
- 2012-03-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.