Organization
HOCKANUM VALLEY COMMUNITY COUNCIL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CELIA WHEELER (OFFICE MANAGER)
(860) 872-9825
Entity
Organization
Contact information
Practice address
27 NAEK RD, SUITE 4, VERNON, CT 06066-3965
(860) 872-9825
(860) 870-9384
Mailing address
27 NAEK RD, SUITE 4, VERNON, CT 06066-3965
(860) 872-9825
(860) 870-9384
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
0466
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004140498
—
CT
01
—
C01720
MEDICARE GROUP
CT
Enumeration date
07/04/2006
Last updated
06/20/2022
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