Organization
YOUTH CHALLENGE MISSION FOR WOMEN
Active
Parent organization
YOUTH CHALLENGE OF CONNECTICUT, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
YOUTH CHALLENGE OF CONNECTICUT, INC.
Authorized official
DR. RAUL GONZALEZ D.MIN. (EXECUTIVE DIRECTOR)
(860) 728-5199
Entity
Organization
Contact information
Practice address
32 ATWOOD ST, HARTFORD, CT 06105-1801
(860) 527-2000
(860) 525-5790
Mailing address
PO BOX 763, HARTFORD, CT 06142-0763
(860) 527-2000
(860) 525-5790
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
SA0117
CT
Other
Enumeration date
07/11/2007
Last updated
07/11/2007
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