OrganizationActive
Primecare, Inc
NPI 1366830838 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Waterbury, CT
Provider details
- NPI number
- 1366830838
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- James Kelly, Mangement Agent(203) 597-8525
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
562 Watertown Ave
Waterbury, CT 06708-2240
Phone: (203) 597-8525
Approximate (ZIP-level) locationGet directions
Mailing address
562 Watertown Ave
Waterbury, CT 06708-2240
Registry dates
- Enumerated
- 2015-01-06
- Last updated
- 2015-01-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.