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MENTAL HEALTH ASSOCIATION OF CONNECTICUT INC NPI 1043410954


NPI Information

NPI: 1043410954
Provider Name: MENTAL HEALTH ASSOCIATION OF CONNECTICUT, INC
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
20-30 BEAVER RD STE 108
WETHERSFIELD, CT
ZIP 06109
Phone: (860) 529-1970
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MENTAL HEALTH ASSOCIATION OF CONNECTICUT, INC is a community based residential treatment facility mental illness in Wethersfield, CT. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. MENTAL HEALTH ASSOCIATION OF CONNECTICUT, INC NPI is 1043410954. The provider is registered as an organization entity type.

The provider's business location address is:

20-30 BEAVER RD STE 108
WETHERSFIELD, CT
ZIP 06109-242
Phone: (860) 529-1970
Fax: (860) 529-6833

The provider's authorized official is Robert L. Mercado .
The authorized official title is Cfo and has the following contact phone number (860) 529-1970.

The enumeration date for this NPI number is 7/19/2007 and was last updated on 7/19/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessRLC-0028CONNECTICUTYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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