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RENAISSANCE CHALLENGE CONQUERER TRAINING CENTER INC
NPI 1194941187
Counselor - Addiction (Substance Use Disorder) in Newark, NJ

Active since April 18, 2007
400 7TH AVE W, NEWARK, NJ 07107(973) 481-3431(973) 481-4142 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Renaissance Challenge Conquerer Training Center Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RENAISSANCE CHALLENGE CONQUERER TRAINING CENTER INC (NPI 1194941187) is a healthcare organization registered as an addiction (substance use disorder) in Newark, New Jersey and active in the NPI registry since April 2007. The organization lists Thomas Reddick, Pastor Owner, as its authorized official.

NPPES Registry Identity

NPI1194941187
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameRENAISSANCE CHALLENGE CONQUERER TRAINING CENTER INC
Location Address400 7TH AVE WNewark, NJ 07107-1697
Mailing Address400 7th Ave WNewark, NJ 07107-1697 · (973) 481-3431 · Fax (973) 481-4142
Phone(973) 481-3431
Fax(973) 481-4142
Organization SubpartNo
Authorized OfficialThomas ReddickPastor Owner · (973) 481-3431
Enumeration DateApril 18, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1194941187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in NJ · PC003003
400 7TH AVE W, Newark, NJ 07107
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Other Identifiers 1

Medicaid0060356NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RENAISSANCE CHALLENGE CONQUERORS TRAINING CENTER
Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
400 7TH AVE W
NEWARK, NJ 07107
Essex County (973) 481-3431

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Renaissance Challenge Conquerer Training Center Inc's NPI number?

The NPI number for Renaissance Challenge Conquerer Training Center Inc is 1194941187. It was assigned to this organization in the NPPES registry on April 18, 2007.

Where is Renaissance Challenge Conquerer Training Center Inc located?

Renaissance Challenge Conquerer Training Center Inc is located at 400 7th Ave W, Newark, NJ 07107. The listed phone number is (973) 481-3431.

What is Renaissance Challenge Conquerer Training Center Inc's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Renaissance Challenge Conquerer Training Center Inc was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.