Provider Demographics
NPI:1639856933
Name:ARCH RECOVERY GROUP
Entity Type:Organization
Organization Name:ARCH RECOVERY GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:MENDY
Authorized Official - Middle Name:
Authorized Official - Last Name:FOGEL
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:848-525-8611
Mailing Address - Street 1:4 BRIGHTON RD STE 204
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07012-1668
Mailing Address - Country:US
Mailing Address - Phone:201-694-2063
Mailing Address - Fax:
Practice Address - Street 1:132 WILLIAM LN
Practice Address - Street 2:
Practice Address - City:MOUNT CLARE
Practice Address - State:WV
Practice Address - Zip Code:26408-7227
Practice Address - Country:US
Practice Address - Phone:201-694-2063
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-29
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility