Organization
DEMALIAS HOUSE OF HOPE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW DEMALIA (PRESIDENT, CEO)
(774) 312-3881
Entity
Organization
Contact information
Practice address
15 EASY ST, PLAINFIELD, CT 06374-1144
(774) 312-3881
Mailing address
15 EASY ST, PLAINFIELD, CT 06374-1144
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CDP00932
DEPARTMENT OF HEALTH
RI
Enumeration date
09/16/2024
Last updated
09/16/2024
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