Second Chance Re-Entry Initiative Program

LBN: Second Chance Re-Entry Initiative Program
Second Chance Re-Entry Initiative Program is an health care organization with primary practice located at 157 Charter Oak Ave , Hartford CT 06106-1913. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, 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. Second Chance Re-Entry Initiative Program can be contacted via phone (860) 400-2488, or through Andrews, Edward via phone (860) 879-1335.

Contact Information

Primary practice address
157 Charter Oak Ave Hartford CT 06106-1913
Phone: (860) 400-2488
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Andrews, Edward BS
Phone: (860) 879-1335

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1104521863
LBN Legal business name Second Chance Re-Entry Initiative Program
DBA Doing business as
Authorized official Andrews, Edward BS
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 3rd, 2023
Last updated Apr 3rd, 2023 - about last year

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.

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