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General NPI Number Information
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NPI Number | 1487452421
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Entity Type | Organization
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Legal Business Name | BRASS COMMUNITY SERVICES
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Dates
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Enumeration Date | 03/05/2025
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 1177 HIGH RIDGE RD STE 108
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City | STAMFORD
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State | CT
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Zip | 06905-1221
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Country | US
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Telephone | 855-778-1262
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Fax |
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Provider Business Mailing Address
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Address Line | 1177 HIGH RIDGE RD STE 108
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City | STAMFORD
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State | CT
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Zip | 06905-1221
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Country | US
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Telephone | 855-778-1262
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. SONJI PHILLIPS
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Credential | PHD
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Telephone | 914-803-5913
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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License Number |
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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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Taxonomy #5
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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Taxonomy #6
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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