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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