| NPI | 1164580379 |
|---|---|
| Doing Business As | OUTPATIENT COUNSELING CENTER |
| Former Legal Business Name | INTERCOMMUNITY RECOVERY CENTERS |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY L BEAUREGARD President & CEO 860-291-1340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CT SA-0201) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: CT SA-0159) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2018-06-16 |