Organization · NPI-2

Chemical Abuse Services Agency, INC.

Community/Behavioral Health · Bridgeport, CT

NPI number1316158256
StatusActive
Last updated in NPPESMar 11, 2015

Details

NPI
1316158256
Entity type
Organization (NPI-2)
Legal business name
Chemical Abuse Services Agency, INC.
Organization subpart
No
Enumeration date
May 24, 2007
Last updated
Mar 11, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral HealthSA-0139CTYes
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)0139CT

Other names

  • Project Courage (Doing Business As)

Practice location

592 Kossuth St
Bridgeport, CT 06608-2204

Phone 203-339-4777 · Fax 203-339-4110

Mailing address

1124 Iranistan Ave
Bridgeport, CT 06605-1121

Phone 203-331-4728 · Fax 203-873-0987

Authorized official

Asher Delerme
Executive Director
2033314728

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