Whalio Doctors

NPI 1053945659

Community Social Integration, LLC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Hamden, CT

Practice location

Address
2666 State St STE 6, Hamden, CT 06517-2232
Phone
(203) 287-1543
Fax
(203) 407-1625

Authorised official

Name
Curtis Lamont Gibson
Title
Owner
Phone
(203) 980-5479

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320900000X

Registry record

NPI
1053945659
Entity type
Organization
NPI issued
24 Feb 2020
Record last updated
24 Feb 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.