Organization
INTEGRATED PROCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARMAND NTCHANA APRN (OFFICE MANAGER)
(860) 593-8373
Entity
Organization
Contact information
Practice address
415 SILAS DEANE HWY # 401, WETHERSFIELD, CT 06109
(860) 920-7170
Mailing address
39 CHESTNUT COURT, CROMWELL, CT 06416
(860) 593-8373
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
122300000X
Dentist
—
—
208D00000X
General Practice Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/25/2014
Last updated
01/30/2015
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