Provider Demographics
NPI:1083232409
Name:MADE ANEW MINISTRIES A NJ NONPROFIT CORPORATION
Entity Type:Organization
Organization Name:MADE ANEW MINISTRIES A NJ NONPROFIT CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:SCHRAG
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:609-432-6289
Mailing Address - Street 1:4772 OCEAN HEIGHTS AVE
Mailing Address - Street 2:
Mailing Address - City:MAYS LANDING
Mailing Address - State:NJ
Mailing Address - Zip Code:08330-9580
Mailing Address - Country:US
Mailing Address - Phone:609-204-8508
Mailing Address - Fax:
Practice Address - Street 1:4772 OCEAN HEIGHTS AVE
Practice Address - Street 2:
Practice Address - City:MAYS LANDING
Practice Address - State:NJ
Practice Address - Zip Code:08330-9580
Practice Address - Country:US
Practice Address - Phone:609-204-8508
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-13
Last Update Date:2020-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No282J00000XHospitalsReligious Nonmedical Health Care InstitutionGroup - Multi-Specialty