NPI 1407055403

Salvation Army Mens Social Service

Organisation Substance Abuse Rehabilitation Facility Hartford, CT

Practice location

Address: 333 Homestead Ave, Hartford, CT 06112-2155
Phone: (860) 527-8106
Fax: (860) 246-8212
Mailing address: PO Box 320440, Hartford, CT 06132-0440

Authorised official

Name: Timothy a Raines
Title: Arc Commander
Phone: (845) 732-4111

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X Licence SA-0067 (CT)

Other Substance Abuse Rehabilitation Facility providers in Connecticut →

Registry record

NPI: 1407055403
Entity type: Organization
NPI issued: 11 Jul 2007
Record last updated: 11 Jul 2007

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.