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INTEGRATED CARE OF CONNECTICUT LLC NPI 1851016661


NPI Information

NPI: 1851016661
Provider Name: INTEGRATED CARE OF CONNECTICUT LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
850 STRAITS TPKE STE 203
MIDDLEBURY, CT
ZIP 06762
Phone: (203) 758-2300
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INTEGRATED CARE OF CONNECTICUT LLC is an adult mental health clinic center in Middlebury, CT. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. INTEGRATED CARE OF CONNECTICUT LLC NPI is 1851016661. The provider is registered as an organization entity type.

The provider's business location address is:

850 STRAITS TPKE STE 203
MIDDLEBURY, CT
ZIP 06762-843
Phone: (203) 758-2300
Fax: (203) 758-9300

The provider's authorized official is Yuncheng Han .
The authorized official title is Manager and has the following contact phone number (203) 758-2300.

The enumeration date for this NPI number is 10/5/2022 and was last updated on 10/5/2022.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0850XClinic/CenterAdult Mental HealthYes

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: 5/5/2024

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