Organization
CONNECTIC UT MENTAL HEALTH SERVICES
Active
Other names
GERIATRIC MENTAL HEALTH SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DANA KRISCENSKI (ADMINISTRATIVE ASSISTANT)
18606775570
Entity
Organization
Contact information
Practice address
270 FARMINGTON AVE, BUILDING ONE, FARMINGTON, CT 06032-1909
(860) 677-5570
Mailing address
25 MIDDLEFIELD DR, WEST HARTFORD, CT 06107-1245
(186) 023-6812
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
002211
CT
Other
Enumeration date
05/17/2006
Last updated
08/08/2008
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