COMMUNITY SUBSTANCE ABUSE CENTERS NPI 1487637724

NPI Information

NPI: 1487637724
Provider Name: COMMUNITY SUBSTANCE ABUSE CENTERS

Doing Business As: HEALTH CARE RESOURCE CENTERS

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
55 FISHFRY ST
HARTFORD, CT
ZIP 06120
Phone: (860) 247-8300
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COMMUNITY SUBSTANCE ABUSE CENTERS is a rehabilitation and substance use disorder clinic center in Hartford, CT. COMMUNITY SUBSTANCE ABUSE CENTERS NPI is 1487637724. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Health Care Resource Centers.

The provider's business location address is:

55 FISHFRY ST
HARTFORD, CT
ZIP 06120-203
Phone: (860) 247-8300
Fax: (860) 548-7325

The provider's authorized official is Michael Saul .
The authorized official title is Vp and has the following contact phone number (214) 379-3300.

The enumeration date for this NPI number is 11/21/2005 and was last updated on 2/13/2024.

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	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
2	163WA0400X	Registered Nurse	Addiction (Substance Use Disorder)	No
3	164W00000X	Licensed Practical Nurse		No
4	207RA0401X	Internal Medicine	Addiction Medicine	No
5	261QM2800X	Clinic/Center	Methadone	No
6	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	004141074	MEDICAID	CONNECTICUT
2	004175718	MEDICAID	CONNECTICUT

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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