; NPI #1578796371

Contact Information

CHERYL A CANTILLON, OTR

46 ROXBURY RD
NIANTIC, CT 06357-1836

Phone: 860-287-7107
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Residential Treatment Facility, Physical Disabilities	320700000X
Psychiatric Residential Treatment Facility	323P00000X

Indicates primary specialty

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NPI Profile & details for

NPI Number 1578796371

Entity Organization

Organization subpart ¹ Not specified

Enumeration date 08/26/2009

Last updated 08/26/2009 - About 17 years ago

Identifiers

CT	License #	001883
MA	License #	8902

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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Contact Information

Specialty

Residential Treatment Facility, Physical Disabilities

Psychiatric Residential Treatment Facility

NPI Profile & details for

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