Renaissance Challenge Conquerer Training Center Inc
LBN: Renaissance Challenge Conquerer Training Center Inc
Renaissance Challenge Conquerer Training Center Inc is an health care organization with primary practice located at 400 7Th Ave W , Newark NJ 07107-1697. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as the primary health care specialty.
Renaissance Challenge Conquerer Training Center Inc can be contacted via phone (973) 481-3431, or through Reddick, Thomas via phone (973) 481-3431.
Contact Information
Primary practice address
400 7Th Ave W
Newark NJ 07107-1697
Phone: (973) 481-3431
Fax: (973) 481-4142
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | PC003003 | New Jersey |
Profile Details
| NPI number | 1194941187 |
|---|---|
| LBN Legal business name | Renaissance Challenge Conquerer Training Center Inc |
| DBA Doing business as | |
| Authorized official | Reddick, Thomas |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 18th, 2007 |
| Last updated | Aug 22nd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194941187 | NPPES |
| New Jersey | MEDICAID | 0060356 |
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