# INNOVATIVE TEAM CARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ITC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528511912
- **Authorized official:** JAMES C ADU (OWNER)
- **Authorized official phone:** (860) 834-3601

## Contact information

- **Practice address:** 14 CARRIAGE CROSSING LN, MIDDLETOWN, CT 06457-5827
- **Practice address phone:** (860) 834-3601
- **Mailing address:** 14 CARRIAGE CROSSING LN, MIDDLETOWN, CT 06457-5827
- **Mailing address phone:** (860) 834-3601

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 08/02/2016
- **Last updated:** 08/02/2016