OrganizationActive
Concrete Interventions and Support Services PLLC
NPI 1235897356 · Adult Mental Health Clinic/Center · Avon, CT
Provider details
- NPI number
- 1235897356
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Gina Rose, Owner(860) 995-7155
Specialties & taxonomies
Ambulatory Health Care Facilities
- Case Management Agency251B00000X
Agencies
Ambulatory Health Care Facilities
Practice location
55 Great Meadow Ln
Avon, CT 06001-4549
Phone: (860) 995-7155
Approximate (ZIP-level) locationGet directions
Mailing address
55 Great Meadow Ln
Avon, CT 06001-4549
Registry dates
- Enumerated
- 2021-12-06
- Last updated
- 2021-12-06
- Certified
- 2021-12-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.