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 , 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 Newark NJ 07107-1697
Phone: (973) 481-3431
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Reddick, Thomas
Phone: (973) 481-3431

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X PC003003 New Jersey

Profile Details

NPI number 1568402956
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 Jun 7th, 2006
Last updated Jan 24th, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568402956 NPPES
New Jersey MEDICAID 0056391

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