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1487957973 NPI number — THE CENTER FOR RECOVERY AND SPIRITUAL HEALING

NPI Number: 1487957973
Health Care Provider/Practitioner: THE CENTER FOR RECOVERY AND SPIRITUAL HEALING

Information about “1487957973” NPI (THE CENTER FOR RECOVERY AND SPIRITUAL HEALING) exists in 1487957973 in HTML format HTML  |  1487957973 in plain Text format TXT  |  1487957973 in PDF (Portable Document Format) PDF  |  1487957973 in an XML format XML  formats.

NPI Number : 1487957973 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1487957973",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "THE CENTER FOR RECOVERY AND SPIRITUAL HEALING",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "192 S MAIN ST",
    "SecondLineMailingAddress": "REAR ENTRANCE",
    "MailingAddressCityName": "MIDDLETOWN",
    "MailingAddressStateName": "CT",
    "MailingAddressPostalCode": "06457-3727",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "203-262-0403",
    "MailingAddressFaxNumber": "860-788-6777",
    "FirstLinePracticeLocationAddress": "192 S MAIN ST",
    "SecondLinePracticeLocationAddress": "REAR ENTRANCE",
    "PracticeLocationAddressCityName": "MIDDLETOWN",
    "PracticeLocationAddressStateName": "CT",
    "PracticeLocationAddressPostalCode": "06457-3727",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "203-262-0403",
    "PracticeLocationAddressFaxNumber": "860-788-6777",
    "EnumerationDate": "12/06/2010",
    "LastUpdateDate": "12/06/2010",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HENNESSEY",
    "AuthorizedOfficialFirstName": "PAULA",
    "AuthorizedOfficialMiddleName": "C",
    "AuthorizedOfficialTitle": "GENERAL PARTNER",
    "AuthorizedOfficialNamePrefix": "MS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LADC",
    "AuthorizedOfficialTelephoneNumber": "203-379-6403",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251S00000X",
        "TaxonomyName": "Community/Behavioral Health Agency",
        "LicenseNumber": "000511",
        "LicenseNumberStateCode": "CT",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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