| Community Health Resources, Inc | |
|
153 Hazard Ave Enfield CT 06082-4592 | |
| (860) 763-8044 | |
| (860) 272-2990 |
| Full Name | Community Health Resources, Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 153 Hazard Ave, Enfield, Connecticut |
| Authorized Official Name and Position | Kimberly Anne Kennedy (EXECUTIVE ASSISTANT) |
| Authorized Official Contact | 8606973364 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Resources, Inc 2 Waterside Xing Ste 401 Windsor CT 06095-1588 Ph: (860) 731-5522 | Community Health Resources, Inc 153 Hazard Ave Enfield CT 06082-4592 Ph: (860) 763-8044 |
| NPI Number | 1215967427 |
|---|---|
| Provider Enumeration Date | 07/04/2006 |
| Last Update Date | 03/22/2024 |
| Certification Date | 03/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215967427 | NPI | - | NPPES |
| 004191673 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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