Organization
VISTA BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASANTE K MENDES M.D. (MEDICAL DIRECTOR)
(860) 269-3101
Entity
Organization
Contact information
Practice address
152 SIMSBURY RD, BUILDING 9 2ND FLOOR, AVON, CT 06001-3777
(860) 269-3101
Mailing address
152 SIMSBURY RD, BUILDING 9 2ND FLOOR, AVON, CT 06001-3777
(860) 269-3101
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
046042
CT
Other
Enumeration date
06/02/2008
Last updated
09/26/2008
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