| Community Substance Abuse Centers, Inc. | |
|
55 Fishfry St Hartford CT 06120-1203 | |
| (860) 247-8300 | |
| (860) 548-7325 |
| Full Name | Community Substance Abuse Centers, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 55 Fishfry St, Hartford, Connecticut |
| Authorized Official Name and Position | Bruce Jarvie (VP, TREASURER) |
| Authorized Official Contact | 2143793300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Substance Abuse Centers, Inc. 1720 Lakepointe Dr Ste 117 Lewisville TX 75057-6425 Ph: (214) 379-3300 | Community Substance Abuse Centers, Inc. 55 Fishfry St Hartford CT 06120-1203 Ph: (860) 247-8300 |
| NPI Number | 1487637724 |
|---|---|
| Provider Enumeration Date | 11/21/2005 |
| Last Update Date | 07/29/2024 |
| Certification Date | 07/29/2024 |
| Medicare PECOS PAC ID | 5496166613 |
|---|---|
| Medicare Enrollment ID | O20201119001027 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487637724 | NPI | - | NPPES |
| 004175718 | Medicaid | CT | |
| 004141074 | Medicaid | CT |
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