OrganizationActive
Bonnie Brae
NPI 1508220922 · Emotionally Disturbed Childrens' Residential Treatment Facility · Liberty Corner, NJ
Provider details
- NPI number
- 1508220922
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- William Powers, Chief Executive Officer
Practice location
3415 Valley Road
Liberty Corner, NJ 07938-0825
Phone: (908) 647-0800
Fax: (908) 647-5021
Mailing address
Po Box 825
Liberty Corner, NJ 07938-0825
Registry dates
- Enumerated
- 2016-04-12
- Last updated
- 2016-04-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.