Provider Demographics
NPI:1669512125
Name:CHALLENGES GROUP HOMES, INC.
Entity Type:Organization
Organization Name:CHALLENGES GROUP HOMES, INC.
Other - Org Name:CONNECTIONS BEHAVIORAL HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FISCAL AFFAIRS OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:MONROE
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:WRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-623-8706
Mailing Address - Street 1:381 WHETSTONE CREEK RD
Mailing Address - Street 2:
Mailing Address - City:STONEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27048-7679
Mailing Address - Country:US
Mailing Address - Phone:336-623-8706
Mailing Address - Fax:336-623-5142
Practice Address - Street 1:610 LONG ST
Practice Address - Street 2:
Practice Address - City:EDEN
Practice Address - State:NC
Practice Address - Zip Code:27288-4330
Practice Address - Country:US
Practice Address - Phone:336-635-0226
Practice Address - Fax:336-623-5142
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC079010320800000X
NC079079320800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6603095Medicaid