Csi Retreat, LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

CSI RETREAT, LLC

Doing business as

The Missing Link Foundation

Practice address

1565 Middletown Ave
Northford, CT 06472-1066

Phone

(203) 108-1927

NPI assigned

Jan 6, 2012

Last updated

Jan 6, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Elie Abdallah Zammarieh, LIFE COACH

Title

Owner

Phone

(203) 915-6067

Specialties & licenses 1

Addresses

Other names 1

• The Missing Link Foundation Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325808000000",
    "number": "1477823524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1565 MIDDLETOWN AVE",
            "city": "NORTHFORD",
            "state": "CT",
            "postal_code": "06472",
            "telephone_number": "203-108-1927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 MIDDLETOWN AVE",
            "city": "NORTHFORD",
            "state": "CT",
            "postal_code": "064721066",
            "telephone_number": "203-108-1927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CSI RETREAT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-06",
        "last_updated": "2012-01-06",
        "status": "A",
        "authorized_official_last_name": "ZAMMARIEH",
        "authorized_official_first_name": "ELIE",
        "authorized_official_middle_name": "ABDALLAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-915-6067",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LIFE COACH"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Missing Link Foundation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Michael Burich, APRN-BC
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• Joseph Connolly, D.D.S
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• Stephanie Kos Flanagan, SLP
• Keri Ann Fryer, LMFT
• Sebastian Galicia
• Health and Happiness Counseling LLC

• Addiction (Substance Use Disorder) Counselor in Northford, CT
• Providers in Northford, CT by specialty
• Addiction (Substance Use Disorder) Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.