Active NPI
Arch Recovery Group
- Substance Abuse Rehabilitation Facility
- Mount Clare, WV
National Provider Identifier
1639856933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- ARCH RECOVERY GROUP
- Practice address
- 132 William LN
Mount Clare, WV 26408-7227 - Phone
- (201) 694-2063
- NPI assigned
- Jun 29, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mendy Fogel, CPA
- Title
- Cfo
- Phone
- (848) 525-8611
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
132 William LN
Mount Clare, WV 26408-7227
Mailing address
4 Brighton Rd Ste 204
Clifton, NJ 07012-1668
Phone (201) 694-2063
National Provider Directory
National Provider DirectoryLocations
132 William Ln
Mount Clare, WV 26408
Phone (201) 694-2063
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687996800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687996800000",
"number": "1639856933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 BRIGHTON RD STE 204",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070121668",
"telephone_number": "201-694-2063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 WILLIAM LN",
"city": "MOUNT CLARE",
"state": "WV",
"postal_code": "264087227",
"telephone_number": "201-694-2063"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARCH RECOVERY GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-29",
"last_updated": "2023-06-29",
"certification_date": "2023-06-29",
"status": "A",
"authorized_official_last_name": "FOGEL",
"authorized_official_first_name": "MENDY",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "848-525-8611",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CPA"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Clare, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.