Provider Demographics
NPI:1518413442
Name:COMMUNITY PARTNERS IN ACTION
Entity Type:Organization
Organization Name:COMMUNITY PARTNERS IN ACTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:PRICE-BORELAND
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:860-566-2030
Mailing Address - Street 1:110 BARTHOLOMEW AVE
Mailing Address - Street 2:SUITE 3010
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06106-2250
Mailing Address - Country:US
Mailing Address - Phone:860-566-2030
Mailing Address - Fax:860-967-3280
Practice Address - Street 1:995 SHERMAN AVE
Practice Address - Street 2:
Practice Address - City:HAMDEN
Practice Address - State:CT
Practice Address - Zip Code:06514-1144
Practice Address - Country:US
Practice Address - Phone:860-566-2030
Practice Address - Fax:860-967-3280
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-31
Last Update Date:2016-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3245S0500XResidential Treatment FacilitiesSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, Children
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health