OrganizationActive
Youth Challenge Bible Training Center
NPI 1811195811 · Substance Abuse Rehabilitation Facility · Moosup, CT
Provider details
- NPI number
- 1811195811
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Parent organization
- Youth Challenge of Connecticut, Inc.
- Organization subpart
- Yes
- Authorized official
- Raul Gonzalez, Executive Director(860) 728-5199
- License
- SA-0118 (CT)
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
111 N Sterling Rd
Moosup, CT 06354-1928
Phone: (860) 564-8400
Fax: (860) 524-0418
Street-level locationGet directions
Mailing address
Po Box 763
Hartford, CT 06142-0763
Registry dates
- Enumerated
- 2007-07-11
- Last updated
- 2007-07-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.