Healthcare Provider Details

I. General information

NPI: 1174931539
Provider Name (Legal Business Name): HUMAN RESOURCES AGENCY OF NEW BRITAIN, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2014
Last Update Date: 07/30/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

83 WHITING STREET
NEW BRITAIN CT
06051
US

IV. Provider business mailing address

180 CLINTON STREET
NEW BRITAIN CT
06053
US

V. Phone/Fax

Practice location:
  • Phone: 860-826-4741
  • Fax: 860-826-4744
Mailing address:
  • Phone: 860-225-8601
  • Fax: 860-827-3577

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251T00000X
TaxonomyPACE Provider Organization
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ROCCO R TRICARICO
Title or Position: EXECUTIVE DIRECTOR
Credential: J.D.
Phone: 860-225-8601