EASTERN CHRISTIAN CHILDREN'S RETREAT
NPI 1992140743
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Wyckoff, NJ
- Organization
- Community Based Residential Treatment Fa...
About EASTERN CHRISTIAN CHILDREN'S RETREAT
This page provides the complete NPI Profile along with additional information for Eastern Christian Children's Retreat, a provider established in Wyckoff, New Jersey operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1992140743 assigned on May 2013. The practitioner's primary taxonomy code is 320900000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Jayne Press (Executive Director)
- NPI
- 1992140743 Verify this NPI
- Provider Name
- EASTERN CHRISTIAN CHILDREN'S RETREAT
- Entity Type
- Organization
- Location Address
- 700 MOUNTAIN AVE WYCKOFF, NJ 07481
- Location Phone
- (201) 848-8005
- Location Fax
- (201) 847-9619
- Mailing Address
- 700 MOUNTAIN AVE WYCKOFF, NJ 07481
- Mailing Phone
- (201) 848-8005
- Mailing Fax
- (201) 847-9619
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-07-2013
- Last Update Date
- 05-07-2013
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Taxonomy Code
- 320900000X
- Type
- Residential Treatment Facilities
- License State
- NJ
- Taxonomy Description
- A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 251C00000X | Agencies | Day Training, Developmentally Disabled Services | (NJ) |
| 2 | 320600000X | Residential Treatment Facilities | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | (NJ) |
| 3 | 385HR2060X | Respite Care Facility | Respite Care | (NJ) |
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Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
WYCKOFF, NJ 07481
WYCKOFF, NJ 07481
WYCKOFF, NJ 07481
WYCKOFF, NJ 07481
WYCKOFF, NJ 07481
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1992140743, enumerated as an "organization" on May 07, 2013.
The provider is located at 700 MOUNTAIN AVE WYCKOFF, NJ 07481 and the phone number is (201) 848-8005.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.