Casa Eugenio Maria De Hostos
LBN: Chemical Abuse Services Agency, Inc.
Casa Eugenio Maria De Hostos is an health care organization with primary practice located at 690 Arctic St , Bridgeport CT 06608-2008. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Agencies / Community/Behavioral Health is the primary health care specialty.
Chemical Abuse Services Agency, Inc. can be contacted via phone (203) 339-4112, or through Delerme, Asher via phone (203) 339-4112.
Contact Information
Primary practice address
690 Arctic St
Bridgeport CT 06608-2008
Phone: (203) 339-4112
Fax: (203) 339-4115
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | SA-0081 | Connecticut |
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | 0452 | Connecticut |
Profile Details
| NPI number | 1225247224 |
|---|---|
| LBN Legal business name | Chemical Abuse Services Agency, Inc. |
| DBA Doing business as | Casa Eugenio Maria De Hostos |
| Authorized official | Delerme, Asher MS, LADC, CCS, CCDP |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 22nd, 2007 |
| Last updated | Mar 5th, 2015 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225247224 | NPPES |
| Connecticut | MEDICAID | 004112918 |
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