Provider Demographics
NPI:1275652026
Name:PROJECT INTERACT, INC
Entity Type:Organization
Organization Name:PROJECT INTERACT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MAEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-274-1558
Mailing Address - Street 1:27 SIEMON COMPANY DR
Mailing Address - Street 2:SUITE 312
Mailing Address - City:WATERTOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06795-2654
Mailing Address - Country:US
Mailing Address - Phone:860-274-1558
Mailing Address - Fax:860-274-1535
Practice Address - Street 1:27 SIEMON COMPANY DR
Practice Address - Street 2:SUITE 312
Practice Address - City:WATERTOWN
Practice Address - State:CT
Practice Address - Zip Code:06795-2654
Practice Address - Country:US
Practice Address - Phone:860-274-1558
Practice Address - Fax:860-274-1535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004142121Medicaid