Organization
CATHOLIC CHARITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN ALVIN MCKEITHEN LADC (CSSD/DOC COORDINATOR)
(203) 787-2207
Entity
Organization
Contact information
Practice address
478 ORANGE ST, NEW HAVEN, CT 06511-3870
(203) 787-2207
(203) 773-3626
Mailing address
478 ORANGE ST, NEW HAVEN, CT 06511-3870
(203) 787-2207
(203) 773-3626
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
000631
CT
Other
Enumeration date
09/28/2007
Last updated
09/28/2007
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