Organization
NEW ERA REHABILITATION CENTER, INC.
Active
Other names
New Era Rehabilitation Center, Inc. NH
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EBENEZER A KOLADE MD (EXECUTIVE DIRECTOR)
(203) 562-2101
Entity
Organization
Contact information
Practice address
311 EAST STREET, NEW HAVEN, CT 06511-5838
(203) 562-2101
(203) 562-2102
Mailing address
311 EAST STREET, NEW HAVEN, CT 06511-5838
(203) 562-2101
(203) 562-2102
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
0381
CT
261QM2800X
Methadone Clinic
0381
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008004032
—
CT
01
—
261QM0201X
TAXONOMY
—
Enumeration date
10/06/2009
Last updated
04/05/2021
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