Provider Demographics
NPI:1205517273
Name:NEW CHAPTER FAITH BASED RECOVERY
Entity type:Organization
Organization Name:NEW CHAPTER FAITH BASED RECOVERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:GHARIB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-367-1918
Mailing Address - Street 1:5 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:MAHWAH
Mailing Address - State:NJ
Mailing Address - Zip Code:07430-3116
Mailing Address - Country:US
Mailing Address - Phone:201-344-3992
Mailing Address - Fax:
Practice Address - Street 1:1915 US HIGHWAY 46 STE 101
Practice Address - Street 2:
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-1300
Practice Address - Country:US
Practice Address - Phone:201-344-3992
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-31
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility