Provider Demographics
NPI:1942324579
Name:AMERICAN HABITARE AND COUNSELING, INC.
Entity Type:Organization
Organization Name:AMERICAN HABITARE AND COUNSELING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:S
Authorized Official - Last Name:KHAWAJA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-799-0508
Mailing Address - Street 1:687 FRELINGHUYSEN AVE
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07114-1334
Mailing Address - Country:US
Mailing Address - Phone:973-799-0508
Mailing Address - Fax:973-799-0505
Practice Address - Street 1:687 FRELINGHUYSEN AVE
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07114-1334
Practice Address - Country:US
Practice Address - Phone:973-799-0508
Practice Address - Fax:973-799-0505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2020-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ022340261QM2800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2800XAmbulatory Health Care FacilitiesClinic/CenterMethadone