Provider Demographics
NPI:1770100562
Name:CENTER FOR SAFER COMMUNITIES, LLC
Entity type:Organization
Organization Name:CENTER FOR SAFER COMMUNITIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:203-482-8675
Mailing Address - Street 1:155 MAIN ST STE 205
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-7844
Mailing Address - Country:US
Mailing Address - Phone:203-739-0035
Mailing Address - Fax:203-739-0035
Practice Address - Street 1:155 MAIN ST STE 205
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-7844
Practice Address - Country:US
Practice Address - Phone:203-739-0035
Practice Address - Fax:203-739-0035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-29
Last Update Date:2020-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty