Renaissance Challenge Conquerer Training Center Inc in Newark - Addiction (substance Use Disorder)
Renaissance Challenge Conquerer Training Center Inc - NPI 1568402956
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 1568402956. The last update date is 2008-01-24.
Renaissance Challenge Conquerer Training Center Inc's current location address is 400 7th Ave, Newark, New Jersey. You can contact this provider via phone number 9734813431. The mailing address for Renaissance Challenge Conquerer Training Center Inc is 400 7th Ave, 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, Newark, New Jersey |
| Phone Number | 9734813431 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Reddick Thomas |
| Telephone Number | 9734813431 |
NPI Number Detail
| NPI Number | 1568402956 |
|---|---|
| Provider Enumeration Date | 2006-06-07 |
| Last Updated Date | 2008-01-24 |
Provider Mailing Address Detail
| Address | 400 7th Ave |
|---|---|
| City | Newark |
| State | New Jersey (NJ) |
| Post Code | 71071697 |
| Phone Number | 9734813431 |
| Fax Number |
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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 56391 | NJ | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Renaissance Challenge Conquerer Training Center Inc by the Centers for Medicare & Medicaid Services?
The Renaissance Challenge Conquerer Training Center Inc has been issued the NPI (National Provider Identifier) 1568402956. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Renaissance Challenge Conquerer Training Center Inc's physical address?
The Renaissance Challenge Conquerer Training Center Inc is physically located at 400 7Th Ave, in the city of Newark, NJ, with the postal code 71071697.
What is the Renaissance Challenge Conquerer Training Center Inc's area of specialization and corresponding taxonomy classification?
The Renaissance Challenge Conquerer Training Center Inc's specialty field is Addiction (substance Use Disorder), and it falls under the taxonomy code 101Ya0400X, which categorizes healthcare providers based on their specialties.
On what date did the Renaissance Challenge Conquerer Training Center Inc receive the assignment of its 1568402956 from the Centers for Medicare & Medicaid Services?
The Renaissance Challenge Conquerer Training Center Inc was issued its 1568402956 by the Centers for Medicare & Medicaid Services on 2006-06-07.
When was the Renaissance Challenge Conquerer Training Center Inc's information last updated?
The Renaissance Challenge Conquerer Training Center Inc's information was last updated on 2008-01-24.