Organization
CONNECTICUT COUNSELING CENTERS INC
Active
Organization
CONNECTICUT COUNSELING CENTERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON BRADWAY (DIRECTOR INFORMATION SYSTEMS)
(203) 568-7466
Entity
Organization
Contact information
Practice address
50 BROOKSIDE RD, WATERBURY, CT 06708-1402
(203) 568-7466
(203) 568-7468
Mailing address
50 BROOKSIDE RD, WATERBURY, CT 06708-1402
(203) 568-7466
(203) 568-7468
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
0067
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0067
CONNECTICUT DEPT PUBLIC HEALTH
CT
Enumeration date
11/28/2017
Last updated
11/28/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up