Organization
PSYCHIATRIC TREATMENT & RESOURCE CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA SUSAN GRISGRABER (APRN2035565225)
(203) 556-5225
Entity
Organization
Contact information
Practice address
647 MAIN ST, EAST HAVEN, CT 06512-2032
(203) 672-5956
(203) 404-7126
Mailing address
310 MAIN ST, EAST HAVEN, CT 06512-2919
(203) 672-5956
(203) 404-7126
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
001868
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
364SP0808X
CLINICAL SPECIALIST PSYCH MENTAL HEALTH
CT
Enumeration date
02/14/2011
Last updated
10/05/2016
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