TEEN CHALLENGE OF FLORIDA, INC.; NPI #1366486680

Contact Information

TEEN CHALLENGE OF FLORIDA, INC.

25 W WEBSTER ST
SEBREE, KY 42455

Phone: 484-868-0584
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Professional	101YP2500X
Adult Mental Health	261QM0850X
Community/Behavioral Health	251S00000X
Substance Abuse Disorder Rehabilitation Facility	324500000X

Indicates primary specialty

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NPI Profile & details for TEEN CHALLENGE OF FLORIDA, INC.

NPI Number 1366486680

LBN Legal business name TEEN CHALLENGE OF FLORIDA, INC.

Authorized official BRICE MADDOCK - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/16/2006

Last updated 01/25/2021 - About 5 years ago

Identifiers

License #

0759AD922801

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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TEEN CHALLENGE OF FLORIDA, INC.

Contact Information

Specialty

Professional

Adult Mental Health

Community/Behavioral Health

Substance Abuse Disorder Rehabilitation Facility

NPI Profile & details for TEEN CHALLENGE OF FLORIDA, INC.

Reviews for TEEN CHALLENGE OF FLORIDA, INC.