NPI | 1962601740 |
---|---|
Other Name | YOUTH CHALLENGE MENS HOME |
Entity Type | Organization |
Authorized Contact | RAUL GONZALEZ Executive Director 860-728-5199 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CT SA0065) |
Enumeration Date | 2007-07-12 |
Last Update Date | 2007-07-12 |