Healthcare Provider Details
I. General information
NPI: 1841530466
Provider Name (Legal Business Name): HUMAN RESOURCES AGENCY OF NEW BRITAIN, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/19/2013
Last Update Date: 02/19/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
83 WHITING ST
NEW BRITAIN CT
06051-3112
US
IV. Provider business mailing address
180 CLINTON ST
NEW BRITAIN CT
06053-3512
US
V. Phone/Fax
- Phone: 860-225-8601
- Fax: 860-826-4744
- Phone: 860-225-8601
- Fax: 860-827-3677
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 252Y00000X |
| Taxonomy | Early Intervention Provider Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
ROCCO
R
TRICARICO
Title or Position: EXECUTIVE DIRECTOR
Credential: J.D.
Phone: 860-225-8601