NPI 1104521863
Second Chance Re-Entry Initiative Program
Practice location
- Address
- 157 Charter Oak Ave, Hartford, CT 06106-1913
- Phone
- (860) 400-2488
Authorised official
- Name
- Edward Andrews
- Title
- Ceo/President
- Phone
- (860) 879-1335
Registered specialties (3)
Community/Behavioral Health Agency
Primary
Mental Health Counselor
Mental Health Clinic/Center (Including Community Mental Health Center)
Registry record
- NPI
- 1104521863
- Entity type
- Organization
- NPI issued
- 3 Apr 2023
- Record last updated
- 3 Apr 2023
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.