SECOND CHANCE RE-ENTRY INITIATIVE PROGRAM
NPI 1104521863
Community/Behavioral Health in Hartford, CT

Q: What is Second Chance Re-Entry Initiative Program's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since April 03, 2023

157 CHARTER OAK AVE, HARTFORD, CT 06106(860) 400-2488 Get Directions Write a Review

NPPES record last updated: April 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Second Chance Re-entry Initiative Program NPPES

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

SECOND CHANCE RE-ENTRY INITIATIVE PROGRAM (NPI 1104521863) is a healthcare organization registered as a community/behavioral health in Hartford, Connecticut and active in the NPI registry since April 2023. The organization lists Edward Andrews, Ceo/president, as its authorized official.

NPPES Registry Identity

NPI1104521863

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameSECOND CHANCE RE-ENTRY INITIATIVE PROGRAM

Location Address157 CHARTER OAK AVEHartford, CT 06106-1913

Mailing Address157 Charter Oak AveHartford, CT 06106-1913 · (860) 400-2488

Phone(860) 400-2488

Organization SubpartYes

Authorized OfficialEdward AndrewsCeo/president · (860) 879-1335

Enumeration DateApril 3, 2023

NPPES CertifiedMarch 30, 2023

✔ NPI 1104521863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

157 CHARTER OAK AVE, Hartford, CT 06106

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. KATHERINE GEBHARDT CARBINE LCSW

Social Worker (Clinical)