Challenge Programs Of Nj | |
5 Colt St Suite 400 Paterson NJ 07505-1419 | |
(973) 345-9100 | |
(973) 345-9110 |
Full Name | Challenge Programs Of Nj |
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Speciality | Clinic/center |
Location | 5 Colt St, Paterson, New Jersey |
Authorized Official Name and Position | Raymond Dorritie (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 9733459100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Challenge Programs Of Nj 5 Colt St Suite 400 Paterson NJ 07505-1419 Ph: (973) 345-9100 | Challenge Programs Of Nj 5 Colt St Suite 400 Paterson NJ 07505-1419 Ph: (973) 345-9100 |
NPI Number | 1154583961 |
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Provider Enumeration Date | 07/02/2008 |
Last Update Date | 07/02/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154583961 | NPI | - | NPPES |
7639309 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 22583 (New Jersey) | Primary |
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