Organization
COMMUNITY CHALLENGE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIE M. JOHNSON O.C.P.S. II (EXECUTIVE DIRECTOR)
(440) 331-3838
Entity
Organization
Contact information
Practice address
20525 CENTER RIDGE RD, SUITE 518, ROCKY RIVER, OH 44116-3437
(440) 331-3838
(440) 331-5655
Mailing address
20525 CENTER RIDGE RD, SUITE 518, ROCKY RIVER, OH 44116-3437
(440) 331-3838
(440) 331-5655
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02426
UPI
OH
Enumeration date
04/26/2006
Last updated
08/22/2020
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