Healthcare Provider Details
I. General information
NPI: 1114968427
Provider Name (Legal Business Name): CHALLENGES PSYCHOLOGICAL SERVICES, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/09/2006
Last Update Date: 06/07/2021
Certification Date: 05/11/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
502 W FARMS RD
HOWELL NJ
07731-1215
US
IV. Provider business mailing address
PO BOX 542
HOWELL NJ
07731-0542
US
V. Phone/Fax
- Phone: 732-222-1100
- Fax: 732-222-1103
- Phone: 732-222-1100
- Fax: 732-222-1103
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 313M00000X |
| Taxonomy | Nursing Facility/Intermediate Care Facility |
| License Number | 3370 |
| License Number State | NJ |
VIII. Authorized Official
Name: DR.
LORI
A
SWEETWOOD
Title or Position: PRESIDENT
Credential: PSYD
Phone: 732-222-1100