Organization
COLLABORATIVE CANCER CARE
Active
Other names
Collaborative Cancer Care
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY GARVIN APRN (NURSE PRACTITIONER)
(617) 650-3391
Entity
Organization
Contact information
Practice address
112 SPENCER ST STE 2, MANCHESTER, CT 06040-4601
(860) 245-8853
Mailing address
8 BIRCHWOOD RD, EAST HARTFORD, CT 06118-1702
(617) 650-3391
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
01/10/2024
Last updated
05/22/2024
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