Organization
SUNSHINE PSYCHIATRIC SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAHBOOB AHMAD ASLAM MD (PRESIDENT)
(203) 980-7926
Entity
Organization
Contact information
Practice address
105 WEST RD, ELLINGTON, CT 06029-5700
(860) 871-5402
(860) 871-5413
Mailing address
105 WEST RD, ELLINGTON, CT 06029-5700
(860) 871-5402
(860) 871-5413
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
047643
CT
Other
Enumeration date
08/14/2012
Last updated
08/14/2012
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