| Organization Name: | TEEN CHALLENGE OF ACADIANA |
| NPI Number: | 1285093922 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARK D BARRENTINE (EXECUTIVE DIRECTOR) |
| Mailing Address: | 7084 Cemetary Hwy At Live Oak Landing Saint Martinville |
| State: | LA US |
| Postal Code: | 705827900 |
| Phone Number: | 8009244012 |
| Fax Number: | |
| NPI Enumeration Date: | 02/22/2016 |
| NPI Last Update Date: | 02/22/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251V00000X |
| License Number: | LADOE 559001 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Voluntary or Charitable |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |