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Organization

CONNECTICUT PSYCHIATRIC & WELLNESS CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MONICA AVERSA (BUSINESS MANAGER)
(203) 298-9005
Entity
Organization

Contact information

Practice address
2446 WHITNEY AVE FL 2, HAMDEN, CT 06518-3233
(203) 298-9005
Mailing address
2446 WHITNEY AVE FL 2, HAMDEN, CT 06518-3233

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2162
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1528326808
CT
Enumeration date
12/18/2015
Last updated
12/18/2015
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