| Challenge Program Of New Jersey Inc | |
|
152 Market St Suite 200 Paterson NJ 07505-1724 | |
| (973) 345-9100 | |
| (973) 345-9110 |
| Full Name | Challenge Program Of New Jersey Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 152 Market St, Paterson, New Jersey |
| Authorized Official Name and Position | William Thompson (ADMINISTRATIVE DIRECTOR) |
| Authorized Official Contact | 9733459100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Challenge Program Of New Jersey Inc 5 Colt St Suite 400 Paterson NJ 07505-1401 Ph: (973) 345-9100 | Challenge Program Of New Jersey Inc 152 Market St Suite 200 Paterson NJ 07505-1724 Ph: (973) 345-9100 |
| NPI Number | 1003030495 |
|---|---|
| Provider Enumeration Date | 04/13/2007 |
| Last Update Date | 08/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003030495 | NPI | - | NPPES |
| 8102503 | Medicaid | NJ | |
| 7639309 | Medicaid | NJ | |
| 7512503 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 22583 (New Jersey) | Primary |
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