Whalio Doctors

NPI 1962601740

Youth Challenge of Connecticut, INC.

Organisation Substance Abuse Rehabilitation Facility Hartford, CT

Practice location

Address
15-17-19 May Street, Hartford, CT 06105-1519
Phone
(860) 728-5199
Fax
(860) 524-0418
Mailing address
15-17 May Street, Hartford, CT 06105-1519

Authorised official

Name
Raul Gonzalez
Title
Executive Director
Phone
(860) 728-5199

Registered specialties

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X Licence SA0065 (CT)

Registry record

NPI
1962601740
Entity type
Organization
NPI issued
12 Jul 2007
Record last updated
12 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.