Active NPIOrganization

Wbc Connecticut East, LLC

Clinic/Center, Adult Mental Health in South Windsor, Connecticut

NPI Number1730442179
Practice location
2400 Tamarack Ave, Suite 203, South Windsor, CT 06074-5555
Fax
860-533-4673
Last updated
October 4, 2012

Wbc Connecticut East, LLC is a healthcare organization based in South Windsor, CT. Wbc Connecticut East, LLC practices in South Windsor, CT. The NPI Number for Wbc Connecticut East, LLC is 1730442179. The current practice location address for Wbc Connecticut East, LLC is 2400 Tamarack Ave, Suite 203, South Windsor, CT 06074-5555 and can be reached out via phone at 860-533-4672 and via fax at 860-533-4673.

Provider Profile Details

NPI Number
1730442179
Provider Name
Wbc Connecticut East, LLC
Provider Entity Type
Organization
Address
2400 Tamarack Ave, Suite 203, South Windsor, CT 06074-5555
Phone Number
860-533-4672
Fax Number
860-533-4673
Primary Taxonomy
Clinic/Center, Adult Mental Health · 261QM0850X
Organization Subpart
Yes
Parent Organization
Walden Behavioral Care, LLC
Authorized Official
Dr. Stuart Koman, PHD · Ceo / Owner · 781-647-6701
Provider Enumeration Date
June 20, 2012
Last Update Date
October 4, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
2400 Tamarack Ave
Suite 203
South Windsor, CT 06074-5555
Zip
06074-5555
Phone Number
860-533-4672
Fax Number
860-533-4673
South Windsor, CT 06074Get directions →

Provider Business Mailing Address Details

Address
880 Main St
Waltham, MA 02451-8500
City
Waltham
State
MA
Zip
02451-8500
Phone Number
781-647-6767
Fax Number
781-647-6755

License Information

Taxonomy (2)
Clinic/Center, Adult Mental Health · 261QM0850X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Wbc Connecticut East, LLC?

The NPI number of Wbc Connecticut East, LLC is 1730442179. It was assigned on June 20, 2012 and is currently active in the NPPES registry.

What is the specialty of Wbc Connecticut East, LLC?

Wbc Connecticut East, LLC is registered under the primary taxonomy Clinic/Center, Adult Mental Health (code 261QM0850X).

Where does Wbc Connecticut East, LLC practice?

The practice location is 2400 Tamarack Ave, Suite 203, South Windsor, CT 06074-5555. The office can be reached at 860-533-4672 (phone) or 860-533-4673 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1730442179 directly on the NPPES registry website.

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