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Community Residences Inc.
Substance Use Disorder Rehabilitation Clinic/Center in Newington, Connecticut
NPI 1063782662

Community Residences Inc. is a Substance Use Disorder Rehabilitation Clinic/Center based in Southington, CT and is specialized in Rehabilitation, Substance Use Disorder. Community Residences Inc. practices in Newington, CT. The NPI Number for Community Residences Inc. is 1063782662 and holds a License No. 0520 (Connecticut).

The current practice location address for Community Residences Inc. is 205 Kelsey St, Newington, CT and can be reached out via phone at 860-878-6858 and via fax at 860-665-9679. You can also correspond with Community Residences Inc. through the mailing address at 732 WEST ST, SOUTHINGTON, CT - 06489-2329 (mailing address contact number: 860-621-7600).

Location: 205 Kelsey St, Newington, CT, 06489-2329
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063782662
Provider Name
Community Residences Inc.
Credential
Provider Entity Type
Organization
Address
205 Kelsey St, Newington, CT, 06489-2329
Phone Number
860-878-6858
Fax Number
860-665-9679
Provider Enumeration Date
01/12/2012
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
205 Kelsey St
City
Newington
State
Connecticut
Zip
06111-5436
Phone Number
860-878-6858
Fax Number
860-665-9679
person
Provider Business Mailing Address Details
Address
205 Kelsey St
City
Newington
State
Connecticut
Zip
06111-5436
Phone Number
860-878-6858
Fax Number
860-665-9679
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
0432 (Connecticut)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
OPCC68 (Connecticut)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
0520 (Connecticut)
Definition
Definition to come...
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