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State Of Connecticut
Adult Mental Health Clinic/Center in Norwich, Connecticut
NPI 1902831548

State Of Connecticut is an Adult Mental Health Clinic/Center based in Norwich, CT and is specialized in Adult Mental Health. State Of Connecticut practices in Norwich, CT. The NPI Number for State Of Connecticut is 1902831548 and holds a License No. (Connecticut).

The current practice location address for State Of Connecticut is 401 West Thames Street, Norwich, CT and can be reached out via phone at 860-859-4674 and via fax at 860-859-4790.

Location: 401 West Thames Street, Norwich, CT, 06360
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902831548
Provider Name
State Of Connecticut
Credential
Provider Entity Type
Organization
Address
401 West Thames Street, Norwich, CT, 06360
Phone Number
860-859-4674
Fax Number
860-859-4790
Provider Enumeration Date
07/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
004220307 05 CT
004120200 05 CT
institution
Provider Business Practice Location Address Details
Address
401 West Thames Street
City
Norwich
State
Connecticut
Zip
06360
Phone Number
860-859-4674
Fax Number
860-859-4790
person
Provider Business Mailing Address Details
Address
401 West Thames Street
City
Norwich
State
Connecticut
Zip
06360
Phone Number
860-859-4674
Fax Number
860-859-4790
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
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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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