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CHEMICAL ABUSE SERVICES AGENCY INC. NPI 1316158256


NPI Information

NPI: 1316158256
Provider Name: CHEMICAL ABUSE SERVICES AGENCY, INC.

Doing Business As: PROJECT COURAGE

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

CLIA Number: 07D2111361

Address:
592 KOSSUTH ST
BRIDGEPORT, CT
ZIP 06608
Phone: (203) 339-4777
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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 1316158256. The provider is registered as an organization entity type.
The provider Is Doing Business As Project Courage.

The provider's business location address is:

592 KOSSUTH ST
BRIDGEPORT, CT
ZIP 06608-204
Phone: (203) 339-4777
Fax: (203) 339-4110

The provider's authorized official is Asher Delerme .
The authorized official title is Executive Director and has the following contact phone number (203) 331-4728.

The CLIA number assigned to this NPI record is 07D2111361 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/24/2007 and was last updated on 3/11/2015.


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)0139CONNECTICUTNo
2251S00000XCommunity/Behavioral HealthSA-0139CONNECTICUTYes

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
1004175528MEDICAIDCONNECTICUT

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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