YOUTH CHALLENGE MISSION FOR WOMEN (NPI# 1144428145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144428145 |
| Entity Type | Organization |
| Organization Name | YOUTH CHALLENGE MISSION FOR WOMEN |
| Practice Address |
32 Atwood St Hartford CT 06105-1801 |
| Mailing Address |
Po Box 763 Hartford CT 06142-0763 |
| Practice Telephone | 8605272000 |
| Practice Fax Number | 8605255790 |
| Mailing Telephone | 8605272000 |
| Mailing Fax Number | 8605255790 |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2007-07-11 |
| Authorized Official Name | DR. RAUL GONZALEZ (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8607285199 |
| Authorized Official Credential | D.MIN. |
| Is Organization Subpart | Y |
| Parent Organization Name | YOUTH CHALLENGE OF CONNECTICUT, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | SA0117 | CT | Residential Treatment Facilities |
| Street Address |
32 ATWOOD ST |
| City | HARTFORD |
| State | CT |
| Zip Code | 06105-1801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275155939 | Pruthwy R Addanki | Student in an Organized Health Care Education/Training Program | Saint Francis Clinic, 1000 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2020-05-15 |
| 1700447802 | Samuel Flynn | Student in an Organized Health Care Education/Training Program | 1000 Asylum Avenue, Suite 3200, Hartford, CT 06105 | 2019-06-28 |
| 1730743568 | Turab J Mohammed | Student in an Organized Health Care Education/Training Program | Saint Francis Hospital Clinic, 1000 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2019-04-26 |
| 1164900387 | Breanne Ferrara | Social Worker | 43 Wooland St, Hartford, CT 06105 | 2018-07-31 |
| 1154814069 | Signature Smiles of Hartford LLC | Dentist | 550 Farmington Avenue, Suite B, Hartford, CT 06105 | 2018-06-14 |
| 1356839062 | Jaimy Villavicencio | Student in an Organized Health Care Education/Training Program | 100 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2018-04-27 |
| 1750885679 | Brittany Bird | Student in an Organized Health Care Education/Training Program | 839-841 Asylum Avenue, Hartford, CT 06105 | 2018-03-23 |
| 1972032241 | Ashley Nicole Mills | Student in an Organized Health Care Education/Training Program | 896 Asylum Ave, 3rd Floor, Hartford, CT 06105 | 2017-06-08 |
| 1528506847 | Samuel Agyei | Social Worker | 291 Collins St, Hartford, CT 06105 | 2017-02-07 |
| 1841735818 | Katie Strahowski | Nurse Practitioner | 85 Gillett Street, Clean Slate, Hartford, CT 06105 | 2016-12-30 |
| Find all providers in zip 06105 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013107432 | Hogar Crea International of Connecticut, Inc. | Substance Abuse Rehabilitation Facility | 18 New Park Ave, Hartford, CT 06106-2122 | 2007-08-01 |
| 1962601740 | Youth Challenge of Connecticut, Inc. | Substance Abuse Rehabilitation Facility | 15-17-19 May Street, Hartford, CT 06105-1519 | 2007-07-12 |
| 1407055403 | Salvation Army Mens Social Service | Substance Abuse Rehabilitation Facility | 333 Homestead Ave, Hartford, CT 06112-2155 | 2007-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073143152 | Connecticut Center for Recovery, LLC | Substance Abuse Rehabilitation Facility | 6 Glenville St, Greenwich, CT 06831-3638 | 2020-01-17 |
| 1235774365 | Aware Recovery Care of Indiana LLC | Substance Abuse Rehabilitation Facility | 35 Thorpe Ave Ste 104, Wallingford, CT 06492-1948 | 2019-11-13 |
| 1710528252 | Ct Ya Services LLC | Substance Abuse Rehabilitation Facility | 3236 Congress St, Fairfield, CT 06824-2034 | 2019-10-07 |
| 1669970125 | Mountainside - Wilton | Substance Abuse Rehabilitation Facility | 372 Danbury Rd Ste 195, Wilton, CT 06897-2523 | 2018-01-30 |
| 1104335041 | Mccall Foundation, Inc. | Substance Abuse Rehabilitation Facility | 17 Prospect Pl, Torrington, CT 06790-4919 | 2017-09-22 |
| 1922541143 | Cvs Pharmacy | Substance Abuse Rehabilitation Facility | 35 Padanaram Rd, Danbury, CT 06811-3701 | 2016-11-19 |
| 1255735577 | Pivot Ministries, Inc. | Substance Abuse Rehabilitation Facility | 485 Jane St, Bridgeport, CT 06608-1707 | 2014-10-15 |
| 1801201330 | Time for A Change Ministry | Substance Abuse Rehabilitation Facility | 880 Hancock Ave, Bridgeport, CT 06605-1930 | 2014-06-23 |
| 1275946881 | High Watch Recovery Center | Substance Abuse Rehabilitation Facility | 62 Carter Rd., Kent, CT 06757 | 2014-06-11 |
| 1083883177 | Mountainside Treatment Center | Substance Abuse Rehabilitation Facility | 187 Route 7, Canaan, CT 06018 | 2008-02-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.