Provider Demographics
NPI:1275544488
Name:CT RESOURCE GROUP LLC
Entity Type:Organization
Organization Name:CT RESOURCE GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SIDNEY
Authorized Official - Middle Name:S
Authorized Official - Last Name:HOROWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:203-573-9521
Mailing Address - Street 1:133 SCOVILL ST
Mailing Address - Street 2:STE 211
Mailing Address - City:WATERBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06706-1127
Mailing Address - Country:US
Mailing Address - Phone:203-573-9521
Mailing Address - Fax:203-573-8708
Practice Address - Street 1:133 SCOVILL ST
Practice Address - Street 2:STE 211
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06706-1127
Practice Address - Country:US
Practice Address - Phone:203-573-9521
Practice Address - Fax:203-573-8708
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-11
Last Update Date:2012-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004188183Medicaid
CT50CONNRESCT01OtherBLUE SHIELD
CTC02353Medicare ID - Type Unspecified