| NPI | 1508259169 |
|---|---|
| Doing Business As | TEEN CHALLENGE ADVENTURE RANCH |
| Entity Type | Organization |
| Authorized Contact | LAURA JONES Billing Manager 479-396-9075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2015-03-06 |
| Last Update Date | 2023-07-10 |