Organization
TEEN CHALLENGE TRAINING CENTER, INC.
Active
Parent organization
TEEN CHALLENGE TRAINING CENTER, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
TEEN CHALLENGE TRAINING CENTER, INC.
Authorized official
BRUCE WHITE (VICE PRESIDENT, FINANCE)
(717) 933-2804
Entity
Organization
Contact information
Practice address
329 E WISTER ST, PHILADELPHIA, PA 19144-1828
(215) 843-2887
Mailing address
33 TEEN CHALLENGE RD, REHRERSBURG, PA 19550-5000
(717) 933-2804
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
807166
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103149980-0003
—
PA
Enumeration date
02/27/2018
Last updated
02/27/2018
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