NPI 1366830838

Primecare, INC

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

Practice location

Address: 562 Watertown Ave, Waterbury, CT 06708-2240
Phone: (203) 597-8525
Mailing address: 562 Watertown Ave #3, Waterbury, CT 06708-2240

Authorised official

Name: James Michael Kelly
Title: Mangement Agent
Phone: (203) 597-8525

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Connecticut →

Registry record

NPI: 1366830838
Entity type: Organization
NPI issued: 6 Jan 2015
Record last updated: 6 Jan 2015

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.