Organization
SOUTHBAY MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA NOLDA MSW (DIRECTOR)
(860) 573-1300
Entity
Organization
Contact information
Practice address
83 PILGRIM DR, WINDSOR, CT 06095-1910
(860) 558-2637
Mailing address
83 PILGRIM DR, WINDSOR, CT 06095-1910
(860) 558-2637
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
001559
CT
Other
Enumeration date
05/10/2017
Last updated
05/10/2017
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