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NPI Profile for TEEN CHALLENGE OF FLORIDA INC in SEBREE, KY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Adult Mental Health |
261QM0850X | |||
Community/Behavioral Health |
251S00000X | |||
Substance Abuse Disorder Rehabilitation Facility |
324500000X |
| NPI Number | 1366486680 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 06/16/2006 | |
| Last updated | 01/25/2021 - About 5 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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TEEN CHALLENGE OF FLORIDA, INC.