Organization
MENTAL HEALTH AND SUBSTANCE ABUSE ASSOCIATION OF GREATER HARTFORD
Active
Other names
Manager
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL TWUMASI (MANAGER)
(860) 819-8954
Entity
Organization
Contact information
Practice address
357 E CENTER ST, MANCHESTER, CT 06040-4472
(860) 819-8954
Mailing address
357 E CENTER ST, MANCHESTER, CT 06040-4472
(860) 819-8954
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005502939
APPLYING FOR NPI #
CT
Enumeration date
12/28/2018
Last updated
12/28/2018
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