BONNIE BRAE – NPI #1508220922
Residential Treatment Facility, Emotionally Disturbed Children

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

BONNIE BRAE is a residential treatment facility located in LIBERTY CORNER, NJ. NPPES has assigned the NPI number 1508220922 to BONNIE BRAE on April 12, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 322D00000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Emotionally Disturbed Children.

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 BONNIE BRAE below.

NPI Profile for
BONNIE BRAE

NPI Number
1508220922
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
BONNIE BRAE
Primary 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
Phone: (908) 647-0800 Fax: (908) 647-5021
Organization Subpart
No
Authorized Official
WILLIAM POWERS
CHIEF EXECUTIVE OFFICER
Phone: (908) 647-0800
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
322D00000X
- Residential Treatment Facility, Emotionally Disturbed Children (Primary)

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.