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Organization

STATE OF CONNECTICUT

Active
Other names
River Valley Services
Organization subpart
No

Provider details

NPI number
Authorized official
MR. STEPHEN A DIPIETRO (CHIEF FINANCIAL OFFICER)
(860) 418-6923
Entity
Organization

Contact information

Practice address
SILVER STREET, DUTTON HOME, MIDDLETOWN, CT 06457
(860) 262-5224
(860) 262-5359
Mailing address
SILVER STREET, DUTTON HOME, MIDDLETOWN, CT 06457
(860) 262-5224
(860) 262-5359

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004120151
CT
05
004214946
CT
Enumeration date
07/14/2006
Last updated
03/16/2016
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