| Explore The Challenge | |
|
30 Tecumseh Trl Browns Mills NJ 08015-6108 | |
| (609) 893-5600 | |
| (609) 893-3082 |
| Full Name | Explore The Challenge |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 30 Tecumseh Trl, Browns Mills, New Jersey |
| Authorized Official Name and Position | William R. Fatum (PRESIDENT) |
| Authorized Official Contact | 6098935600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Explore The Challenge Po Box 207 New Lisbon NJ 08064-0207 Ph: (609) 893-5600 | Explore The Challenge 30 Tecumseh Trl Browns Mills NJ 08015-6108 Ph: (609) 893-5600 |
| NPI Number | 1700094638 |
|---|---|
| Provider Enumeration Date | 05/21/2007 |
| Last Update Date | 08/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700094638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 37PC00088900 (New Jersey) | Primary |
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