institution
State Of Connecticut
Adult Mental Health Clinic/Center in Waterbury, Connecticut
NPI 1841225489

State Of Connecticut is an Adult Mental Health Clinic/Center based in Waterbury, CT and is specialized in Adult Mental Health. State Of Connecticut practices in Waterbury, CT. The NPI Number for State Of Connecticut is 1841225489 and holds a License No. (Connecticut).

The current practice location address for State Of Connecticut is 55 West Main Street, Waterbury, CT and can be reached out via phone at 203-805-6403 and via fax at 203-805-6432. You can also correspond with State Of Connecticut through the mailing address at 55 WEST MAIN STREET, WATERBURY, CT - 06702 (mailing address contact number: 203-805-6403).

Location: 55 West Main Street, Waterbury, CT, 06702
institution
Provider Profile Details
NPI Number
1841225489
Provider Name
State Of Connecticut
Credential
Provider Entity Type
Organization
Address
55 West Main Street, Waterbury, CT, 06702
Phone Number
203-805-6403
Fax Number
203-805-6432
Provider Enumeration Date
07/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
004120333 05 CT
004217106 05 CT
institution
Provider Business Practice Location Address Details
Address
55 West Main Street
City
State
Zip
06702
Phone Number
203-805-6403
Fax Number
203-805-6432
person
Provider Business Mailing Address Details
Address
55 West Main Street
City
State
Zip
06702
Phone Number
203-805-6403
Fax Number
203-805-6432
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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