Healthcare Provider Details

I. General information

NPI: 1477601367
Provider Name (Legal Business Name): ALCOHOL & DRUG RECOVERY CENTERS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 COVENTRY ST
HARTFORD CT
06112-1524
US

IV. Provider business mailing address

500 BLUE HILLS AVE
HARTFORD CT
06112-1500
US

V. Phone/Fax

Practice location:
  • Phone: 860-714-3701
  • Fax:
Mailing address:
  • Phone: 860-714-3701
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number0305
License Number StateCT

VIII. Authorized Official

Name: RONALD FLEMING
Title or Position: PRESIDENT & CEO
Credential:
Phone: 860-714-3805