Organization
YOUTH CHALLENGE OF CONNECTICUT, INC.
Active
Other names
Youth Challenge Mens Home
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAUL GONZALEZ D.MIN. (EXECUTIVE DIRECTOR)
(860) 728-5199
Entity
Organization
Contact information
Practice address
15-17-19 MAY STREET, HARTFORD, CT 06105-1519
(860) 728-5199
(860) 524-0418
Mailing address
15-17 MAY STREET, HARTFORD, CT 06105-1519
(860) 728-5199
(860) 524-0418
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
SA0065
CT
Other
Enumeration date
07/12/2007
Last updated
07/12/2007
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