Organization
YOUTH CHALLENGE BIBLE TRAINING CENTER
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
111 N STERLING RD, MOOSUP, CT 06354-1928
(860) 564-8400
(860) 524-0418
Mailing address
PO BOX 763, HARTFORD, CT 06142-0763
(860) 564-8400
(860) 230-0851
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
SA-0118
CT
Other
Enumeration date
07/11/2007
Last updated
07/11/2007
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