Provider Type Icon

SECOND CHANCE RE-ENTRY INITIATIVE PROGRAM NPI 1104521863


NPI Information

NPI: 1104521863
Provider Name: SECOND CHANCE RE-ENTRY INITIATIVE PROGRAM
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
157 CHARTER OAK AVE
HARTFORD, CT
ZIP 06106
Phone: (860) 400-2488
Get Directions

SECOND CHANCE RE-ENTRY INITIATIVE PROGRAM is a community behavioral health in Hartford, CT. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. SECOND CHANCE RE-ENTRY INITIATIVE PROGRAM NPI is 1104521863. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

157 CHARTER OAK AVE
HARTFORD, CT
ZIP 06106-913
Phone: (860) 400-2488

The provider's authorized official is Edward Andrews .
The authorized official title is Ceo/president and has the following contact phone number (860) 879-1335.

The enumeration date for this NPI number is 4/3/2023 and was last updated on 4/3/2023.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
3251S00000XCommunity/Behavioral HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.