NPI 1003030495

Challenge Program of New Jersey INC

Organisation Clinic/Center Paterson, NJ

Practice location

Address: 152 Market St Suite 200, Paterson, NJ 07505-1724
Phone: (973) 345-9100
Fax: (973) 345-9110
Mailing address: 5 Colt St Suite 400, Paterson, NJ 07505-1401

Authorised official

Name: William Thompson
Title: Administrative Director
Phone: (973) 345-9100

Registered specialties

Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261Q00000X Licence 22583 (NJ)

Other Clinic/Center providers in New Jersey →

Registry record

NPI: 1003030495
Entity type: Organization
NPI issued: 13 Apr 2007
Record last updated: 13 Aug 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.