CONNECTICUT COUNSELING CENTERS INC NPI 1871619676

NPI Information

NPI: 1871619676
Provider Name: CONNECTICUT COUNSELING CENTERS INC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
4 MIDLAND RD
WATERBURY, CT
ZIP 06705
Phone: (203) 755-8874
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CONNECTICUT COUNSELING CENTERS INC is a rehabilitation and substance use disorder clinic center in Waterbury, CT. CONNECTICUT COUNSELING CENTERS INC NPI is 1871619676. The provider is registered as an organization entity type.

The provider's business location address is:

4 MIDLAND RD
WATERBURY, CT
ZIP 06705-412
Phone: (203) 755-8874
Fax: (203) 597-9570

The provider's authorized official is Jason E Bradway .
The authorized official title is Director Of Information Technology and has the following contact phone number (203) 743-4698.

The enumeration date for this NPI number is 3/22/2007 and was last updated on 6/25/2008.

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	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	SA0200	CONNECTICUT	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	004175726	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: 11/14/2023

NPI Synchronization or Removal

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