Organization
APPLIED BEHAVIORAL REHABILITATION INSTITUTE INC.
Active
Other names
Homes for the Brave
Organization subpart
No
Provider details
NPI number
Authorized official
ELISHA LOGAN LPC (CHIEF CLINICAL OFFICER)
(203) 338-0669
Entity
Organization
Contact information
Practice address
655 PARK AVE, BRIDGEPORT, CT 06604-4634
(203) 338-0669
Mailing address
655 PARK AVE, BRIDGEPORT, CT 06604-4634
(203) 338-0669
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
01/28/2019
Last updated
07/08/2025
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