Organization
TEEN CHALLENGE SOUTHEAST RECOVERY CENTERS, INC.
Active
Organization
TEEN CHALLENGE SOUTHEAST RECOVERY CENTERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRICE MADDOCK (CEO)
(706) 596-8731
Entity
Organization
Contact information
Practice address
15 W 10TH ST, COLUMBUS, GA 31901-2744
(706) 596-8731
Mailing address
15 W 10TH ST, COLUMBUS, GA 31901-2744
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/14/2019
Last updated
05/14/2019
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