NPI Profile for JEROME S CZECH in NEW HAVEN, CT.
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Psychiatric Hospital |
283Q00000X | A0[7] | Hospital-Psychiatric (PPS excluded) |
| NPI Number | 1497768071 |
|
| Status | Active | |
| Credentials | LCSW (Licensed Clinical Social Worker) | |
| Entity | Individual | |
| Enumeration date | 08/14/2006 | |
| Last updated | 07/08/2007 - About 19 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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JEROME S CZECH
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