Organization
COMMUNITY HEALTH AND WELLNESS CENTER OF GREATER TORRINGTON INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNE BORDUAS (CEO/PRESIDENT)
(860) 489-0931
Entity
Organization
Contact information
Practice address
469 MIGEON AVE, TORRINGTON, CT 06790-4643
(860) 489-0931
(860) 482-3067
Mailing address
469 MIGEON AVE, TORRINGTON, CT 06790-4643
(860) 489-0931
(860) 482-3067
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
0490
CT
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004247872
—
CT
05
—
008024018
—
CT
05
—
008033022
—
CT
01
—
071876
MEDICARE
—
01
—
071877
MEDICARE
—
Enumeration date
03/01/2006
Last updated
08/30/2016
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