Provider Demographics
NPI:1760652986
Name:BROWN, SAHIB H SR (CADC, CAC)
Entity Type:Individual
Prefix:MS
First Name:SAHIB
Middle Name:H
Last Name:BROWN
Suffix:SR
Gender:M
Credentials:CADC, CAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MENDHAM
Mailing Address - State:NJ
Mailing Address - Zip Code:07945-1257
Mailing Address - Country:US
Mailing Address - Phone:973-543-5656
Mailing Address - Fax:973-543-7502
Practice Address - Street 1:80 WEST MAIN ST
Practice Address - Street 2:
Practice Address - City:MENDHAM
Practice Address - State:NJ
Practice Address - Zip Code:07945
Practice Address - Country:US
Practice Address - Phone:973-543-5656
Practice Address - Fax:973-543-7502
Is Sole Proprietor?:No
Enumeration Date:2008-03-04
Last Update Date:2008-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37CA00042400101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)