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NR CONNECTICUT LLC NPI 1184374993


NPI Information

NPI: 1184374993
Provider Name: NR CONNECTICUT, LLC

Doing Business As: RETREAT BEHAVIORAL HEALTH

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 07D2266103

Address:
915 ELLA T GRASSO BLVD
NEW HAVEN, CT
ZIP 06519
Phone: (561) 444-3512
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NR CONNECTICUT, LLC is a community behavioral health in New Haven, 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. NR CONNECTICUT, LLC NPI is 1184374993. The provider is registered as an organization entity type.
The provider Is Doing Business As Retreat Behavioral Health.

The provider's business location address is:

915 ELLA T GRASSO BLVD
NEW HAVEN, CT
ZIP 06519-516
Phone: (561) 444-3512

The provider's authorized official is Scott Korogodsky .
The authorized official title is Chief Administrative Officer and has the following contact phone number (561) 444-3512.

The CLIA number assigned to this NPI record is 07D2266103 - other - op substance use clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/25/2022 and was last updated on 12/16/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
2261QM0850XClinic/CenterAdult Mental HealthNo
3261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
4251S00000XCommunity/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: 4/28/2024

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