INTERCOMMUNITY INC. NPI 1164580379

NPI Information

INTERCOMMUNITY, INC. is a substance abuse rehabilitation facility in Hartford, CT. The provider is 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. INTERCOMMUNITY, INC. NPI is 1164580379. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Intercommunity Recovery Centers.

The provider's business location address is:

16 COVENTRY STREET
HARTFORD, CT
ZIP 06112
Phone: (860) 714-3701
Fax: (860) 714-8974

The provider's authorized official is Kimberly L Beauregard .
The authorized official title is President & Ceo and has the following contact phone number (860) 291-1340.

The CLIA number assigned to this NPI record is 07D2035359 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/4/2006 and was last updated on 6/16/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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