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PROJECT COURAGE LLC NPI 1659716405


NPI Information

NPI: 1659716405
Provider Name: PROJECT COURAGE, LLC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 07D2057181

Address:
130 ELM ST
OLD SAYBROOK, CT
ZIP 06475
Phone: (860) 388-9656
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PROJECT COURAGE, LLC is a rehabilitation and substance use disorder clinic center in Old Saybrook, CT. PROJECT COURAGE, LLC NPI is 1659716405. The provider is registered as an organization entity type.

The provider's business location address is:

130 ELM ST
OLD SAYBROOK, CT
ZIP 06475-105
Phone: (860) 388-9656
Fax: (954) 370-6447

The provider's authorized official is Ryan Hocking .
The authorized official title is Assistant Executive Director and has the following contact phone number (860) 388-9656.

The CLIA number assigned to this NPI record is 07D2057181 - other - outpt addic & mental heal with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/7/2013 and was last updated on 10/18/2021.


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
1291U00000XClinical Medical LaboratoryNo
2261QM0850XClinic/CenterAdult Mental HealthNo
3261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.