OrganizationActive
La Gomera LLC
NPI 1497495840 · Emotionally Disturbed Childrens' Residential Treatment Facility · Eatontown, NJ
Provider details
- NPI number
- 1497495840
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Catherine Bucheger, Billing Director(262) 490-7933
Specialties & taxonomies
Residential Treatment Facilities
Residential Treatment Facilities
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility320900000X
Residential Treatment Facilities
Residential Treatment Facilities
Practice location
3 Corbett Way
Eatontown, NJ 07724-2283
Phone: (657) 304-0103
Approximate (ZIP-level) locationGet directions
Mailing address
3 Corbett Way
Eatontown, NJ 07724-2283
Other names (DBA / former)
- Doing business as
- Zinnia Children and Family
Registry dates
- Enumerated
- 2022-03-31
- Last updated
- 2022-03-31
- Certified
- 2022-03-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.