Organization
FAMILY SERVICE BUREAU OF NEWARK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHI SHU CHOU LPC, LCADC (DIRECTOR OF OPERATION)
(973) 412-2056
Entity
Organization
Contact information
Practice address
379 KEARNY AVE, KEARNY, NJ 07032-2601
(201) 246-8077
(201) 955-6165
Mailing address
274 S ORANGE AVE, 2ND FLOOR, NEWARK, NJ 07103-2419
(973) 412-2056
(973) 484-3452
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
2000025-04
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0597911
—
NJ
Enumeration date
09/12/2008
Last updated
10/11/2018
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