Alcohol & Drug Recovery Centers, Inc
Organization Active NPI Adult Mental Health Clinic/Center · Hartford, CT
NPI 1477601367 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1477601367
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Mental Health Clinic/Center 261QM0850X
- License
- 0305 (CT)
- Legal business name
- ALCOHOL & DRUG RECOVERY CENTERS, INC
- Practice address
- 16 Coventry St
Hartford, CT 06112-1524 - Phone
- (860) 714-3701
- NPI assigned
- Jan 8, 2007
- Organization subpart
- No
Authorized official
- Name
- Ronald Fleming
- Title
- President & Ceo
- Phone
- (860) 714-3805
Corporate family (same tax ID) 1
Practitioners 2
-
Kimberly L Beauregard, LCSW
-
Tyler Booth, LCSW
National Provider Directory
- Tax ID family
- Alcohol Drug Recovery Centers Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | 0305 | CT | Yes |
Addresses
Primary practice location
16 Coventry St
Hartford, CT 06112-1524
Mailing address
500 Blue Hills Ave
Hartford, CT 06112-1500
Phone (860) 714-3701
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004134730 | Medicaid | CT |
Other providers in Hartford, CT
- Lee A Albert
- Lexus Albert
- Ross H Albert
- Christopher Albini
- Jessica Ryan Albrycht
- Marlene Aldana
- William Confer Alder
- Francis Luke Aldo
- Vicky S. Aldrich
- Todd J Alekshun
All providers in Hartford, CT · Adult Mental Health Clinic/Center in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.