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CONNECTICUT CENTER FOR RECOVERY, LLC
NPI 1073143152
Substance Abuse Rehabilitation Facility in Greenwich, CT

Active since January 17, 2020CLIA 07D2179265 · Waiver
177 W PUTNAM AVE FL 1, GREENWICH, CT 06830(203) 350-3100(203) 418-7500 Get Directions Write a Review

NPPES record last updated: May 27, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 27, 2021, Jan 17, 2020 (2 updates tracked since 2020).

About Connecticut Center For Recovery, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONNECTICUT CENTER FOR RECOVERY, LLC (NPI 1073143152) is a healthcare organization registered as a substance abuse rehabilitation facility in Greenwich, Connecticut and active in the NPI registry since January 2020. The organization holds a CLIA Waiver certificate valid through February 18, 2028 and lists Justin Dufour, Owner, as its authorized official.

NPPES Registry Identity

NPI1073143152
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameCONNECTICUT CENTER FOR RECOVERY, LLC
Location Address177 W PUTNAM AVE FL 1Greenwich, CT 06830-5203
Mailing Address177 W Putnam Ave Fl 1Greenwich, CT 06830-5203 · (203) 350-3100 · Fax (203) 418-7500
Phone(203) 350-3100
Fax(203) 418-7500
Organization SubpartNo
Authorized OfficialJustin DufourOwner · (203) 350-3100
Enumeration DateJanuary 17, 2020
Last NPPES UpdateMay 27, 20212 updates tracked since enumeration
NPPES CertifiedMay 27, 2021
✔ NPI 1073143152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

177 W PUTNAM AVE FL 1, Greenwich, CT 06830
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 07D2179265

Connecticut Center For Recovery · Greenwich, CT
Active · expires Feb 18, 2028
CLIA Number07D2179265
Laboratory TypeBehavioral Health
Certificate Effective DateFebruary 19, 2026
Certificate Expiration DateFebruary 18, 2028
Laboratory DirectorJohn R. Meyers
Laboratory Phone(203) 350-3100
Laboratory LocationConnecticut Center For Recovery177 West Putnam Ave, Greenwich, CT 06830
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

What is CONNECTICUT CENTER FOR RECOVERY, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1073143152, enumerated as an "organization" on January 17, 2020.

Where is the provider located?

The provider is located at 177 W PUTNAM AVE FL 1 GREENWICH, CT 06830 and the phone number is (203) 350-3100.

What is the provider's specialty?

Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.