Crec River Street Autism Program At Coltsville
Specialty details in registry · Hartford, CT
At a glance
111 Charter Oak Ave, Hartford, CT 06106-1912
NPPES record updated Nov 2, 2011. Public records can lag behind changes at a practice.
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Practice location
111 Charter Oak AveHartford, CT 06106-1912
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 103K00000X
- Enumeration date
- Nov 2, 2011
- Record updated
- Nov 2, 2011
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
103K00000X · Primary
License reported: 1000342 CT
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
111 Charter Oak AveHartford, CT 06106-1912
- Phone
- (860) 298-9079
- Fax
- (860) 722-9438
Mailing address
111 CHARTER OAK AVEHARTFORD, CT 061061912
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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