Provider Demographics
NPI:1730967415
Name:ANEW MENTAL & BEHAVIORAL HEALTH SERVICES LLC
Entity type:Organization
Organization Name:ANEW MENTAL & BEHAVIORAL HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OLUCHI
Authorized Official - Middle Name:
Authorized Official - Last Name:EKE
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:908-301-6763
Mailing Address - Street 1:20 COMMERCE DR STE 135
Mailing Address - Street 2:
Mailing Address - City:CRANFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07016-3614
Mailing Address - Country:US
Mailing Address - Phone:908-301-6763
Mailing Address - Fax:
Practice Address - Street 1:20 COMMERCE DR STE 135
Practice Address - Street 2:
Practice Address - City:CRANFORD
Practice Address - State:NJ
Practice Address - Zip Code:07016-3614
Practice Address - Country:US
Practice Address - Phone:908-301-6763
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-15
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)