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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 # | 1427074426 |
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| LBN Legal business name | STATE OF CONNECTICUT | ||||||||
| Authorized official | STEPHEN DIPIETRO - (CHIEF FINANCIAL OFFICER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 07/14/2006 | ||||||||
| Last updated | 03/16/2016 - About 10 years ago | ||||||||
| Identifiers |
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STATE OF CONNECTICUT
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STATE OF CONNECTICUT