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CHEMICAL ABUSE SERVICES AGENCY INC. NPI 1225247224


NPI Information

NPI: 1225247224
Provider Name: CHEMICAL ABUSE SERVICES AGENCY, INC.

Doing Business As: CASA EUGENIO MARIA DE HOSTOS

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
690 ARCTIC ST
BRIDGEPORT, CT
ZIP 06608
Phone: (203) 339-4112
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CHEMICAL ABUSE SERVICES AGENCY, INC. is a community behavioral health in Bridgeport, 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. CHEMICAL ABUSE SERVICES AGENCY, INC. NPI is 1225247224. The provider is registered as an organization entity type.
The provider Is Doing Business As Casa Eugenio Maria De Hostos.

The provider's business location address is:

690 ARCTIC ST
BRIDGEPORT, CT
ZIP 06608-008
Phone: (203) 339-4112
Fax: (203) 339-4115

The provider's authorized official is Asher Delerme .
The authorized official title is Executive Director and has the following contact phone number (203) 339-4112.

The enumeration date for this NPI number is 5/22/2007 and was last updated on 3/5/2015.


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)0452CONNECTICUTNo
2251S00000XCommunity/Behavioral HealthSA-0081CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1004112918MEDICAIDCONNECTICUT

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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