Healthcare Provider Details

I. General information

NPI: 1336282441
Provider Name (Legal Business Name): HARC, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2007
Last Update Date: 12/28/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 ASYLUM AVE MAIL STOP #1017
HARTFORD CT
06105-1901
US

IV. Provider business mailing address

900 ASYLUM AVE MAIL STOP #1017
HARTFORD CT
06105-1901
US

V. Phone/Fax

Practice location:
  • Phone: 860-218-6011
  • Fax: 860-244-0264
Mailing address:
  • Phone: 860-218-6011
  • Fax: 860-244-0264

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number032900
License Number StateCT
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: MS. ANGELA M. BEEBE
Title or Position: DIRECTOR OF ACCOUNTING SERVICES
Credential:
Phone: 860-218-6011