NPI 1295597698

Harold Grimes, NCPSSCPSSCT

Practitioner Peer Specialist Hartford, CT

Practice location

Address: 45 Wadsworth St, Hartford, CT 06106-7108
Phone: (806) 962-1023
Fax: (860) 724-1023

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence 1048 (CT)

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Registry record

NPI: 1295597698
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Jan 2024
Record last updated: 30 Jan 2024

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.