Second Chance Re-Entry Initiative Program
Community/Behavioral Health in Hartford, Connecticut
1104521863- Practice location
- 157 Charter Oak Ave, Hartford, CT 06106-1913
- Phone
- 860-400-2488
- Fax
- —
- Last updated
- April 3, 2023
Second Chance Re-Entry Initiative Program is a healthcare organization based in Hartford, CT. Second Chance Re-Entry Initiative Program practices in Hartford, CT. The NPI Number for Second Chance Re-Entry Initiative Program is 1104521863. The current practice location address for Second Chance Re-Entry Initiative Program is 157 Charter Oak Ave, Hartford, CT 06106-1913 and can be reached out via phone at 860-400-2488.
Provider Profile Details
- NPI Number
- 1104521863
- Provider Name
- Second Chance Re-Entry Initiative Program
- Provider Entity Type
- Organization
- Address
- 157 Charter Oak Ave, Hartford, CT 06106-1913
- Phone Number
- 860-400-2488
- Primary Taxonomy
- Community/Behavioral Health · 251S00000X
- Organization Subpart
- Yes
- Parent Organization
- Second Chance Re-Entry Initiative Program
- Authorized Official
- Edward Andrews, BS · Ceo/President · 860-879-1335
- Provider Enumeration Date
- April 3, 2023
- Last Update Date
- April 3, 2023
- Certification Date
- March 30, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 157 Charter Oak Ave
Hartford, CT 06106-1913 - City
- Hartford
- State
- Connecticut
- Zip
- 06106-1913
- Phone Number
- 860-400-2488
Provider Business Mailing Address Details
- Address
- 157 Charter Oak Ave
Hartford, CT 06106-1913 - City
- Hartford
- State
- CT
- Zip
- 06106-1913
- Phone Number
- 860-400-2488
License Information
- Taxonomy (1)
- Counselor, Mental Health · 101YM0800X
- Taxonomy (2)
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X
- Taxonomy (3)
- Community/Behavioral Health · 251S00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Second Chance Re-Entry Initiative Program?
The NPI number of Second Chance Re-Entry Initiative Program is 1104521863. It was assigned on April 3, 2023 and is currently active in the NPPES registry.
What is the specialty of Second Chance Re-Entry Initiative Program?
Second Chance Re-Entry Initiative Program is registered under the primary taxonomy Community/Behavioral Health (code 251S00000X).
Where does Second Chance Re-Entry Initiative Program practice?
The practice location is 157 Charter Oak Ave, Hartford, CT 06106-1913. The office can be reached at 860-400-2488 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104521863 directly on the NPPES registry website.