Organization · Type 2 NPI

Intercommunity, Inc.

Substance Abuse Rehabilitation Facility · Hartford, CT

NPI number 1164580379 Active

Practice location

16 Coventry Street
Hartford, CT 06112

Call (860) 714-3701 Map

Fax (860) 714-8974

Mailing address

111 Founders Plaza, Suite 1802
East Hartford, CT 06108

Specialties and licenses

Taxonomy	Code	License
Adult Mental Health Clinic/Center	261QM0850X	SA-0159 (CT)
Substance Abuse Rehabilitation Facility Primary	324500000X	SA-0201 (CT)

Substance Abuse Rehabilitation Facility: 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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NPI record

NPI: 1164580379
Entity type: Organization (Type 2)
Issued: Dec 4, 2006
Last updated: Jun 16, 2018
Status: Active

Other names

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Outpatient Counseling Center · doing business as
Intercommunity Recovery Centers · former legal business name

Authorized official

Kimberly L Beauregard, LCSW
President & CEO
(860) 291-1340

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1164580379

Intercommunity, Inc.'s National Provider Identifier is 1164580379, issued on Dec 4, 2006. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Hartford, CT. The record was last updated on Jun 16, 2018.