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Organization
UNITED SERVICES INC
Active
Organization
UNITED SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE L MANNING MBA CBHE (PRESIDENT/CEO)
(860) 774-2020
Entity
Organization
Contact information
Practice address
1007 N MAIN ST, DAYVILLE, CT 06241-2123
(860) 774-2020
(860) 774-0826
Mailing address
1007 N MAIN ST, DAYVILLE, CT 06241-2170
(860) 774-2020
(860) 774-0826
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
CPA-39
CT
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004040564
—
CT
01
—
172895
MHN
—
01
—
77ABH0043CT01
BCBS
—
Enumeration date
08/02/2005
Last updated
04/23/2024
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