Renaissance Challenge Conquerer Training Center Inc in Newark - Addiction (substance Use Disorder)
Renaissance Challenge Conquerer Training Center Inc - NPI 1194941187
Renaissance Challenge Conquerer Training Center Inc is a Addiction (substance Use Disorder) in Newark, New Jersey. Renaissance Challenge Conquerer Training Center Inc practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Renaissance Challenge Conquerer Training Center Inc is 1194941187. The last update date is 2020-08-22.
Renaissance Challenge Conquerer Training Center Inc's current location address is 400 7th Ave W, Newark, New Jersey. You can contact this provider via phone number 9734813431 and fax number 9734814142. The mailing address for Renaissance Challenge Conquerer Training Center Inc is 400 7th Ave W, Newark, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Renaissance Challenge Conquerer Training Center Inc |
|---|---|
| Address | 400 7th Ave W, Newark, New Jersey |
| Phone Number | 9734813431 |
| Fax Number | 9734814142 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PASTOR OW |
|---|---|
| Authorized Official Name | Reddick Thomas |
| Telephone Number | 9734813431 |
NPI Number Detail
| NPI Number | 1194941187 |
|---|---|
| Provider Enumeration Date | 2007-04-18 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 400 7th Ave W |
|---|---|
| City | Newark |
| State | New Jersey (NJ) |
| Post Code | 71071697 |
| Phone Number | 9734813431 |
| Fax Number | 9734814142 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | PC003003 |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 60356 | NJ | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Renaissance Challenge Conquerer Training Center Inc?
The Renaissance Challenge Conquerer Training Center Inc has been issued the NPI (National Provider Identifier) 1194941187 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Renaissance Challenge Conquerer Training Center Inc?
The Renaissance Challenge Conquerer Training Center Inc is situated at 400 7Th Ave W, in the city of Newark, state of NJ, with the zip code 71071697.
What is Renaissance Challenge Conquerer Training Center Inc's area of expertise and its corresponding taxonomy classification?
The Renaissance Challenge Conquerer Training Center Inc's field of specialization is Addiction (substance Use Disorder), and it falls under the taxonomy code 101Ya0400X, which categorizes healthcare providers based on their areas of practice.
What is Renaissance Challenge Conquerer Training Center Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Renaissance Challenge Conquerer Training Center Inc is Addiction (substance Use Disorder), and the taxonomy code that classifies this field of practice is 101Ya0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1194941187 to Renaissance Challenge Conquerer Training Center Inc?
The Centers for Medicare & Medicaid Services originally issued the 1194941187 to Renaissance Challenge Conquerer Training Center Inc on 2007-04-18.