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Organization
COMMUNITY MENTAL HEALTH AFFILIATES INC
Active
Organization
COMMUNITY MENTAL HEALTH AFFILIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GRACE CAVALLO (PRESIDENT & CEO)
(860) 826-1358
Entity
Organization
Contact information
Practice address
233 MAIN ST, NEW BRITAIN, CT 06051-4204
(860) 826-1358
(860) 229-8886
Mailing address
233 MAIN ST, NEW BRITAIN, CT 06051-4204
(860) 826-1358
(860) 229-8886
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
0043
CT
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
0232
CT
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
0276
CT
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
0301
CT
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
0368
CT
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
C-0212
CT
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
C-0281
CT
261QM0850X
Adult Mental Health Clinic/Center
0275
CT
320800000X
Mental Illness Community Based Residential Treatment Facility
RLC-0038
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004123650
—
CT
05
—
004161725
—
CT
05
—
008044236
—
CT
01
—
77ABH0015CT01
ANTHEM BCBS PROVIDER #
CT
Enumeration date
09/26/2006
Last updated
07/02/2025
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