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Eastern Christian Children'S Retreat

Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Hawthorne, NJ

NPI 1649702010 · NPPES record last updated Apr 3, 2017

Key facts

NPI
1649702010
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
License
GH2302 (NJ)
Legal business name
EASTERN CHRISTIAN CHILDREN'S RETREAT
Practice address
1 Rockledge Rd
Hawthorne, NJ 07506
Phone
(201) 848-8005
NPI assigned
Apr 3, 2017
Organization subpart
No

Authorized official

Name
Jayne Press
Title
Executive Director
Phone
(201) 848-8005

Corporate family (same tax ID) 20

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Eastern Christian Children'S Retreat (21 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X GH2302 NJ Yes

Addresses

Primary practice location

1 Rockledge Rd
Hawthorne, NJ 07506

Mailing address

700 Mountain Ave
Wyckoff, NJ 07481-1047
Phone (201) 848-8005

Other providers in Hawthorne, NJ

All providers in Hawthorne, NJ · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in New Jersey

Sources for this page

Verify at the official NPI Registry.