ST. VINCENT DEPAUL MISSION OF WATERBURY, INC.; NPI #1043348204

Contact Information

ST. VINCENT DEPAUL MISSION OF WATERBURY, INC.

86 MIDLAND RD # 88
WATERBURY, CT 06705-3414

Phone: 203-753-3342
Fax: 203-753-9900
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Community Based Residential Treatment Facility, Mental Illness	320800000X

Indicates primary specialty

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NPI Profile & details for ST. VINCENT DEPAUL MISSION OF WATERBURY, INC.

NPI # 1043348204

LBN Legal business name ST. VINCENT DEPAUL MISSION OF WATERBURY, INC.

Authorized official PAUL IADAROLA - (EXECUTIVE DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/01/2007

Last updated 08/11/2016 - About 10 years ago

Identifiers

CT	License #	RCL-0029
CT	Medicaid	004246519

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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ST. VINCENT DEPAUL MISSION OF WATERBURY, INC.

Contact Information

Specialty

Community Based Residential Treatment Facility, Mental Illness

NPI Profile & details for ST. VINCENT DEPAUL MISSION OF WATERBURY, INC.

Reviews for ST. VINCENT DEPAUL MISSION OF WATERBURY, INC.