Organization
CATHOLIC CHARITIES,DIOCESE OF NORWICH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAREK K KUKULKA LMFT (EXECUTIVE DIRECTOR)
(860) 889-8346
Entity
Organization
Contact information
Practice address
331 MAIN ST, NORWICH, CT 06360
(860) 889-8346
(860) 889-2658
Mailing address
331 MAIN ST, NORWICH, CT 06360
(860) 889-8346
(860) 889-2658
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00404689
—
CT
Enumeration date
12/27/2006
Last updated
10/07/2009
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