National Provider Identifier Database

CONNECTICUT CENTER FOR RECOVERY LLC
Substance Abuse Disorder Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.


Contact Information

CONNECTICUT CENTER FOR RECOVERY, LLC
177 W PUTNAM AVE FL 1
GREENWICH, CT06830-5203
Phone: 203-350-3100
Fax: 203-418-7500
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for CONNECTICUT CENTER FOR RECOVERY, LLC

NPI Number 1073143152
Legal business name
LBN
CONNECTICUT CENTER FOR RECOVERY, LLC
Authorized official JUSTIN DUFOUR - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 01/17/2020
Last updated 05/27/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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