Provider Demographics
NPI:1538349493
Name:CHALLENGES, INC.
Entity type:Organization
Organization Name:CHALLENGES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OF CORPORATION
Authorized Official - Prefix:MS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:JOHNSON OLSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-290-9223
Mailing Address - Street 1:PO BOX 371
Mailing Address - Street 2:
Mailing Address - City:BOONE
Mailing Address - State:IA
Mailing Address - Zip Code:50036-0371
Mailing Address - Country:US
Mailing Address - Phone:515-290-9223
Mailing Address - Fax:515-838-9727
Practice Address - Street 1:2959 100TH ST
Practice Address - Street 2:
Practice Address - City:URBANDALE
Practice Address - State:IA
Practice Address - Zip Code:50322-5500
Practice Address - Country:US
Practice Address - Phone:515-290-9223
Practice Address - Fax:515-838-9727
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-08
Last Update Date:2011-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA01871104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1538349493104100000XMedicaid