Youth Challenge Bible Training Center
NPI #1811195811 in Moosup, Connecticut
Provider Information
- NPI Number
- 1811195811
- Entity Type
- Organization
- Organization Name
- Youth Challenge Bible Training Center
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- YOUTH CHALLENGE OF CONNECTICUT, INC.
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Jul 11, 2007
- Last Updated
- Jul 11, 2007
Practice Location
- Address
- 111 N STERLING RD
- City
- Moosup
- State
- Connecticut
- ZIP Code
- 06354-1928
- Phone
- (860) 564-8400
Authorized Official
- Name
- DR. RAUL GONZALEZ, D.MIN.
- Title
- EXECUTIVE DIRECTOR
- Phone
- (860) 728-5199
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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