OrganizationActive
Intercommunity, Inc.
NPI 1164580379 · Substance Abuse Rehabilitation Facility · Hartford, CT
Provider details
- NPI number
- 1164580379
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Authorized official
- Kimberly Beauregard, President & Ceo
- License
- SA-0159 (CT)
Practice location
16 Coventry Street
Hartford, CT 06112
Phone: (860) 714-3701
Fax: (860) 714-8974
Mailing address
111 Founders Plaza
East Hartford, CT 06108
Registry dates
- Enumerated
- 2006-12-04
- Last updated
- 2018-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.