STATE OF CONNECTICUT NPI 1881629434

NPI Information

STATE OF CONNECTICUT is a psychiatric hospital in New Haven, CT. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. STATE OF CONNECTICUT NPI is 1881629434. The provider is registered as an organization entity type.
The provider Is Doing Business As Connecticut Mental Health Center.

The provider's business location address is:

34 PARK STREET
NEW HAVEN, CT
ZIP 06790
Phone: (203) 974-7417
Fax: (203) 974-7413

The provider's authorized official is Stephen A Dipietro .
The authorized official title is Chief Financial Officer and has the following contact phone number (860) 418-6923.

The CLIA number assigned to this NPI record is 07D0093345 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/12/2006 and was last updated on 3/16/2016.

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:

Other Identifiers

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