Organization
CHEMICAL ABUSE SERVICES AGENCY, INC.
Active
Other names
Casa Eugenio Maria de Hostos
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ASHER DELERME MS, LADC, CCS, CCDP (EXECUTIVE DIRECTOR)
(203) 339-4112
Entity
Organization
Contact information
Practice address
690 ARCTIC ST, BRIDGEPORT, CT 06608-2008
(203) 339-4112
(203) 339-4115
Mailing address
1124 IRANISTAN AVE, BRIDGEPORT, CT 06605-1121
(203) 331-4728
(203) 873-0987
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
SA-0081
CT
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
0452
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004112918
—
CT
Enumeration date
05/22/2007
Last updated
03/05/2015
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