Youth Challenge of Connecticut, Inc.
NPI #1962601740 in Hartford, Connecticut
Provider Information
- NPI Number
- 1962601740
- Entity Type
- Organization
- Organization Name
- Youth Challenge of Connecticut, Inc.
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Jul 12, 2007
- Last Updated
- Jul 12, 2007
Practice Location
- Address
- 15-17-19 MAY STREET
- City
- Hartford
- State
- Connecticut
- ZIP Code
- 06105-1519
- Phone
- (860) 728-5199
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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