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An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Adult Mental Health |
261QM0850X |
| NPI # | 1225063860 |
| LBN Legal business name | STATE OF CONNECTICUT |
| Authorized official | DAVID CROMPTON - (CHIEF FINANCIAL OFFICER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 07/12/2006 |
| Last updated | 08/22/2020 - About 6 years ago |
| Identifiers | n/a |
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STATE OF CONNECTICUT
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STATE OF CONNECTICUT