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Organization

COMMUNITY SUBSTANCE ABUSE CENTERS, INC.

Active
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Organization

COMMUNITY SUBSTANCE ABUSE CENTERS, INC.

Active
Other names
Health Care Resource Centers
Organization subpart
No

Provider details

NPI number
Authorized official
BRUCE JARVIE (VP, TREASURER)
(214) 379-3300
Entity
Organization

Contact information

Practice address
55 FISHFRY ST, HARTFORD, CT 06120-1203
(860) 247-8300
(860) 548-7325
Mailing address
1720 LAKEPOINTE DR STE 117, LEWISVILLE, TX 75057-6425
(214) 379-3300
(214) 853-9018

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
164W00000X
Licensed Practical Nurse
207RA0401X
Addiction Medicine (Internal Medicine) Physician
261QM2800X
Methadone Clinic
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004141074
CT
05
004175718
CT
Enumeration date
11/21/2005
Last updated
07/29/2024
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