Organization
TEEN CHALLENGE DE PUERTO RICO, INC.
Active
Other names
TEEN CHALLENGE IOP
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE A SANCHEZ DMIN (DIRECTOR ADMINISTRATIVO)
(787) 730-6908
Entity
Organization
Contact information
Practice address
CARRETERA #2 KM 7.7, BAYAMON, PR 00958-4273
(787) 730-6908
Mailing address
PO BOX 4273, BAYAMON, PR 00958-1273
(787) 730-6908
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24001
LICENCIA ASSMCA
PR
Enumeration date
03/25/2025
Last updated
03/25/2025
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