Organization
CHALLENGE PROGRAM OF NEW JERSEY INC
Active
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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