Healthcare Provider Details
I. General information
NPI: 1609816032
Provider Name (Legal Business Name): CATHOLIC CHARITIES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/07/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
90 FRANKLIN SQ
NEW BRITAIN CT
06051-2607
US
IV. Provider business mailing address
90 FRANKLIN SQ
NEW BRITAIN CT
06051-2607
US
V. Phone/Fax
- Phone: 860-225-3561
- Fax: 860-225-2558
- Phone: 860-225-3561
- Fax: 860-225-2558
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | C-0063 |
| License Number State | CT |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | C-0063 |
| License Number State | CT |
VIII. Authorized Official
Name: MRS.
MARIA
ESTHER
RIOS
Title or Position: BUSINESS SERVICE MANAGER
Credential: MS, AS
Phone: 860-225-3561