| Second Chance Re-entry Initiative Program | |
|
157 Charter Oak Ave Hartford CT 06106-1913 | |
| (860) 400-2488 | |
| Not Available |
| Full Name | Second Chance Re-entry Initiative Program |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 157 Charter Oak Ave, Hartford, Connecticut |
| Authorized Official Name and Position | Edward Andrews (CEO/PRESIDENT) |
| Authorized Official Contact | 8608791335 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Second Chance Re-entry Initiative Program 157 Charter Oak Ave Hartford CT 06106-1913 Ph: (860) 400-2488 | Second Chance Re-entry Initiative Program 157 Charter Oak Ave Hartford CT 06106-1913 Ph: (860) 400-2488 |
| NPI Number | 1104521863 |
|---|---|
| Provider Enumeration Date | 04/03/2023 |
| Last Update Date | 04/03/2023 |
| Certification Date | 03/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104521863 | NPI | - | NPPES |
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