# CONNECTICUT PSYCHIATRIC & WELLNESS CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** None
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528326808
- **Authorized official:** VANESSA L ACAMPORA (MANAGER)
- **Authorized official phone:** (203) 298-9005

## Contact information

- **Practice address:** 1 BRADLEY RD, SUITE 905, WOODBRIDGE, CT 06525-2285
- **Practice address phone:** (203) 298-9005
- **Practice address fax:** (203) 298-9006
- **Mailing address:** 1 BRADLEY RD STE 404, WOODBRIDGE, CT 06525-2235
- **Mailing address phone:** (203) 298-9005
- **Mailing address fax:** (203) 535-0023

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | 045572 | CT | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | 045572 | CT | Yes |

## Other

- **Enumeration date:** 04/24/2012
- **Last updated:** 04/17/2024