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YOUTH CHALLENGE OF CONNECTICUT INC. NPI 1962601740


NPI Information

NPI: 1962601740
Provider Name: YOUTH CHALLENGE OF CONNECTICUT, INC.

Other Name: YOUTH CHALLENGE MENS HOME

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
15-17-19 MAY STREET
HARTFORD, CT
ZIP 06105
Phone: (860) 728-5199
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YOUTH CHALLENGE OF CONNECTICUT, INC. is a substance abuse rehabilitation facility in Hartford, CT. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. YOUTH CHALLENGE OF CONNECTICUT, INC. NPI is 1962601740. The provider is registered as an organization entity type.
The provider Other Name Is Youth Challenge Mens Home.

The provider's business location address is:

15-17-19 MAY STREET
HARTFORD, CT
ZIP 06105-519
Phone: (860) 728-5199
Fax: (860) 524-0418

The provider's authorized official is Raul Gonzalez .
The authorized official title is Executive Director and has the following contact phone number (860) 728-5199.

The enumeration date for this NPI number is 7/12/2007 and was last updated on 7/12/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation FacilitySA0065CONNECTICUTYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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