Harold Grimes, NCPSS, CPSS (CT)
Peer Specialist in Hartford, CT. Individual provider (NPI-1).
NPI number1295597698
StatusActive
Last updated in NPPESJan 30, 2024
Details
- NPI
- 1295597698
- Entity type
- Individual (NPI-1)
- Name
- Mr. Harold Grimes
- Credential
- NCPSS, CPSS (CT)
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 30, 2024
- Certification date
- Jan 30, 2024
- Last updated
- Jan 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | 1048 | CT | Yes |
Practice location
45 Wadsworth StHartford, CT 06106-7108
Phone 806-962-1023 · Fax 860-724-1023
Mailing address
45 Wadsworth StHartford, CT 06106-7108
Phone 860-692-1023 · Fax 860-724-2539
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