| Organization Name: | COMMUNITY RESIDENCES INC. |
| NPI Number: | 1063782662 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AMY MAGUDA (COMMUNITY BASED SVCS COORDINATOR) |
| Mailing Address: | 205 Kelsey St Unit 12 Newington |
| State: | CT US |
| Postal Code: | 061115436 |
| Phone Number: | 8608786858 |
| Fax Number: | 8606659679 |
| NPI Enumeration Date: | 01/12/2012 |
| NPI Last Update Date: | 02/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0850X |
| License Number: | 0520 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CT |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Adult Mental Health |
| Taxonomy Definition: | An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |