Provider Demographics
NPI:1740161272
Name:CATHOLIC CHARITIES- INSTITUTE FOR THE HISPANIC FAMILY
Entity type:Organization
Organization Name:CATHOLIC CHARITIES- INSTITUTE FOR THE HISPANIC FAMILY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CCBHC PROJECT DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:LERZUNDY-PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:MS LMFT
Authorized Official - Phone:860-527-1124
Mailing Address - Street 1:839 ASYLUM AVE
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06105-2801
Mailing Address - Country:US
Mailing Address - Phone:860-527-1124
Mailing Address - Fax:
Practice Address - Street 1:45 WADSWORTH ST
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06106-7108
Practice Address - Country:US
Practice Address - Phone:860-527-1124
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-10
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health