OrganizationActive
Behavioral Advocacy & Support, LLC
NPI 1083468672 · Community/Behavioral Health Agency · Southington, CT
Provider details
- NPI number
- 1083468672
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Candace Osullivan, Founder/Owner(860) 778-4514
Specialties & taxonomies
Agencies
Practice location
23 Harness Dr
Southington, CT 06489-1863
Phone: (860) 778-4514
Approximate (ZIP-level) locationGet directions
Mailing address
23 Harness Dr
Southington, CT 06489-1863
Registry dates
- Enumerated
- 2024-04-11
- Last updated
- 2024-05-02
- Certified
- 2024-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.