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Organization

COMMUNITY RESIDENCES INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMY MAGUDA LCSW (COMMUNITY BASED SVCS COORDINATOR)
(860) 878-6858
Entity
Organization

Contact information

Practice address
205 KELSEY ST, UNIT 12, NEWINGTON, CT 06111-5436
(860) 878-6858
(860) 665-9679
Mailing address
732 WEST ST, SOUTHINGTON, CT 06489-2329
(860) 621-7600

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
0520
CT
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
OPCC68
CT
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
0432
CT

Other

Enumeration date
01/12/2012
Last updated
02/18/2015
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