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Eastern Christian Children'S Retreat

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Wyckoff, NJ. Organization (NPI-2).

NPI number1750767976
StatusActive
Last updated in NPPESAug 11, 2015

Details

NPI
1750767976
Entity type
Organization (NPI-2)
Legal business name
Eastern Christian Children'S Retreat
Organization subpart
No
Enumeration date
Aug 11, 2015
Last updated
Aug 11, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesGH709NJYes

Practice location

700 Mountain Ave
Wyckoff, NJ 07481-1047

Phone 201-848-8005 · Fax 201-847-9619

Mailing address

700 Mountain Ave
Wyckoff, NJ 07481-1047

Phone 201-848-8005 · Fax 201-847-9619

Authorized official

Jayne Press
Executive Director
2018488005

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