Provider Demographics
NPI:1518580349
Name:BRETT'S PLACE
Entity Type:Organization
Organization Name:BRETT'S PLACE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTUVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRETTSCHNEIDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-715-2113
Mailing Address - Street 1:26 DALRYMPLE RD
Mailing Address - Street 2:
Mailing Address - City:BRANCHVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07826-4412
Mailing Address - Country:US
Mailing Address - Phone:973-715-2113
Mailing Address - Fax:
Practice Address - Street 1:26 DALRYMPLE RD
Practice Address - Street 2:
Practice Address - City:BRANCHVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07826-4412
Practice Address - Country:US
Practice Address - Phone:973-715-2113
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-27
Last Update Date:2020-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities