NPI 1164580379

Intercommunity, INC.

Organisation Substance Abuse Rehabilitation Facility Hartford, CT

Practice location

Address: 16 Coventry Street, Hartford, CT 06112
Phone: (860) 714-3701
Fax: (860) 714-8974
Mailing address: 111 Founders Plaza Suite 1802, East Hartford, CT 06108

Authorised official

Name: Kimberly L Beauregard
Title: President & Ceo
Phone: (860) 291-1340

Registered specialties (2)

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X Licence SA-0201 (CT)

Other Substance Abuse Rehabilitation Facility providers in Connecticut →

Adult Mental Health Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QM0850X Licence SA-0159 (CT)

Other Clinic/Center providers in Connecticut →

Registry record

NPI: 1164580379
Entity type: Organization
NPI issued: 4 Dec 2006
Record last updated: 16 Jun 2018

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.