| The Challenge Program Of Nj | |
|
5 Colt St Suite 400 Paterson NJ 07505-1419 | |
| (973) 345-9100 | |
| (973) 345-9110 |
| Full Name | The Challenge Program Of Nj |
|---|---|
| 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 |
|---|---|
| The Challenge Program Of Nj 5 Colt St Suite 400 Paterson NJ 07505-1419 Ph: (973) 345-9100 | The Challenge Program Of Nj 5 Colt St Suite 400 Paterson NJ 07505-1419 Ph: (973) 345-9100 |
| NPI Number | 1699937409 |
|---|---|
| Provider Enumeration Date | 07/02/2008 |
| Last Update Date | 07/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699937409 | NPI | - | NPPES |
| 8102503 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 22583 (New Jersey) | Primary |
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