CSI RETREAT LLC NPI 1477823524

NPI Information

NPI: 1477823524
Provider Name: CSI RETREAT, LLC

Doing Business As: THE MISSING LINK FOUNDATION

Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
1565 MIDDLETOWN AVE
NORTHFORD, CT
ZIP 06472
Phone: (203) 108-1927
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CSI RETREAT, LLC is an addiction (substance use disorder) counselor in Northford, CT. CSI RETREAT, LLC NPI is 1477823524. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As The Missing Link Foundation.

The provider's business location address is:

1565 MIDDLETOWN AVE
NORTHFORD, CT
ZIP 06472-066
Phone: (203) 108-1927

The provider's authorized official is Elie Abdallah Zammarieh .
The authorized official title is Owner and has the following contact phone number (203) 915-6067.

The enumeration date for this NPI number is 1/6/2012 and was last updated on 1/6/2012.

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
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			Yes

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

NPI Synchronization or Removal

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