Community Based Adolescent Services, LLC
Counselor, Professional in West Haven, Connecticut
1912206038- Practice location
- 87 Jones St, West Haven, CT 06516-5435
- Phone
- 203-537-9811
- Fax
- —
- Last updated
- March 16, 2011
Community Based Adolescent Services, LLC is a healthcare organization based in West Haven, CT. Community Based Adolescent Services, LLC practices in West Haven, CT. The NPI Number for Community Based Adolescent Services, LLC is 1912206038 and holds a License No. 001630 (CT). The current practice location address for Community Based Adolescent Services, LLC is 87 Jones St, West Haven, CT 06516-5435 and can be reached out via phone at 203-537-9811.
Provider Profile Details
- NPI Number
- 1912206038
- Provider Name
- Community Based Adolescent Services, LLC
- Provider Entity Type
- Organization
- Address
- 87 Jones St, West Haven, CT 06516-5435
- Phone Number
- 203-537-9811
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Organization Subpart
- No
- Authorized Official
- Mr. Frank Anthony Mastri, LPC · Executive Director · 203-537-9811
- Provider Enumeration Date
- March 16, 2011
- Last Update Date
- March 16, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 87 Jones St
West Haven, CT 06516-5435 - City
- West Haven
- State
- Connecticut
- Zip
- 06516-5435
- Phone Number
- 203-537-9811
Provider Business Mailing Address Details
- Address
- Po Box 10
Bridgeport, CT 06601-0010 - City
- Bridgeport
- State
- CT
- Zip
- 06601-0010
- Fax Number
- 203-937-8830
License Information
- License Number
- 001630
- License State
- CT
- Taxonomy
- Counselor, Professional · 101YP2500X · 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 Community Based Adolescent Services, LLC?
The NPI number of Community Based Adolescent Services, LLC is 1912206038. It was assigned on March 16, 2011 and is currently active in the NPPES registry.
What is the specialty of Community Based Adolescent Services, LLC?
Community Based Adolescent Services, LLC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in CT under license number 001630.
Where does Community Based Adolescent Services, LLC practice?
The practice location is 87 Jones St, West Haven, CT 06516-5435. The office can be reached at 203-537-9811 (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 1912206038 directly on the NPPES registry website.