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Intercommunity, Inc.
Substance Abuse Rehabilitation Facility in Hartford, Connecticut
NPI 1164580379

Intercommunity, Inc. is a Substance Abuse Rehabilitation Facility based in East Hartford, CT. Intercommunity, Inc. practices in Hartford, CT. The NPI Number for Intercommunity, Inc. is 1164580379 and holds a License No. SA-0159 (Connecticut).

The current practice location address for Intercommunity, Inc. is 16 Coventry Street, Hartford, CT and can be reached out via phone at 860-714-3701 and via fax at 860-714-8974.

Location: 16 Coventry Street, Hartford, CT, 06108
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164580379
Provider Name
Intercommunity, Inc.
Credential
Provider Entity Type
Organization
Address
16 Coventry Street, Hartford, CT, 06108
Phone Number
860-714-3701
Fax Number
860-714-8974
Provider Enumeration Date
12/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CTGA000422 01 CT SAGA
004134730 05 CT
004042065 05 CT
institution
Provider Business Practice Location Address Details
Address
16 Coventry Street
City
Hartford
State
Connecticut
Zip
06112
Phone Number
860-714-3701
Fax Number
860-714-8974
person
Provider Business Mailing Address Details
Address
16 Coventry Street
City
Hartford
State
Connecticut
Zip
06112
Phone Number
860-714-3701
Fax Number
860-714-8974
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
SA-0201 (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
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
SA-0159 (Connecticut)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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