Teen Challenge Southeast Recovery Centers, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

TEEN CHALLENGE SOUTHEAST RECOVERY CENTERS, INC.

Practice address

15 W 10TH St
Columbus, GA 31901-2744

Phone

(706) 596-8731

NPI assigned

May 14, 2019

Last updated

May 14, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Brice Maddock

Title

Ceo

Phone

(706) 596-8731

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557792000000",
    "number": "1770149866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 W 10TH ST",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319012744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 W 10TH ST",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319012744",
            "telephone_number": "706-596-8731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEEN CHALLENGE SOUTHEAST RECOVERY CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-14",
        "last_updated": "2019-05-14",
        "status": "A",
        "authorized_official_last_name": "MADDOCK",
        "authorized_official_first_name": "BRICE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-596-8731",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Warene K Taylor, CNNP
• William E Taylor, MD
• Charles Teague, MD
• Kathi Moxley Teasley, R.PH.
• Mary Elizabeth Teem, LPC
• Hoor Temuri, MD
• Terry a Cone MD
• Glenn C. Terry, M.D.
• Shawanda Terry
• Tito Terry

• Community/Behavioral Health Agency in Columbus, GA
• Providers in Columbus, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.