Organization
CHALLENGE PROGRAM OF NEW JERSEY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM THOMPSON C.A.S.A.C. (ADMINISTRATIVE DIRECTOR)
(973) 345-9100
Entity
Organization
Contact information
Practice address
152 MARKET ST, SUITE 200, PATERSON, NJ 07505-1724
(973) 345-9100
(973) 345-9110
Mailing address
5 COLT ST, SUITE 400, PATERSON, NJ 07505-1401
(973) 345-9100
(973) 345-9110
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
22583
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7512503
—
NJ
05
—
7639309
—
NJ
05
—
8102503
—
NJ
Enumeration date
04/13/2007
Last updated
08/13/2007
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