Organization
HOLISTIC BEHAVIORAL HEALTH OF CONNECTICUT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OKECHUKWU C CHIDIADI APRN (OWNER)
(608) 695-0308
Entity
Organization
Contact information
Practice address
116 COTTAGE GROVE RD STE 110, BLOOMFIELD, CT 06002-3200
(860) 904-5433
(860) 904-5456
Mailing address
116 COTTAGE GROVE RD STE 110, BLOOMFIELD, CT 06002-3200
(860) 869-5030
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/28/2021
Last updated
12/28/2021
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