EASTERN CHRISTIAN CHILDREN'S RETREAT – NPI #1205291176
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

EASTERN CHRISTIAN CHILDREN'S RETREAT is a community based residential treatment facility located in WALDWICK, NJ. NPPES has assigned the NPI number 1205291176 to EASTERN CHRISTIAN CHILDREN'S RETREAT on December 21, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EASTERN CHRISTIAN CHILDREN'S RETREAT below.

NPI Profile for
EASTERN CHRISTIAN CHILDREN'S RETREAT

NPI Number
1205291176
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EASTERN CHRISTIAN CHILDREN'S RETREAT
Primary location
148 WYCKOFF AVENUE
WALDWICK, NJ 07463
Phone: (201) 857-5078 Fax:
Mailing address
700 MOUNTAIN AVE
WYCKOFF, NJ 07481-1047
Phone: (201) 848-8005 Fax:
Organization Subpart
No
Authorized Official
JAYNE PRESS
EXECUTIVE DIRECTOR
Phone: (201) 848-8005
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)		 NJ GH2162

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.