Organization
STATE OF CONNECTICUT
Active
Other names
Albert J. Solnit Children's Center-South Campus
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE SAROFIN LCSW (SUPERINTENDENT)
(860) 704-4090
Entity
Organization
Contact information
Practice address
915 RIVER ROAD, MIDDLETOWN, CT 06457-3921
(860) 704-4090
(860) 704-4123
Mailing address
915 RIVER ROAD, MIDDLETOWN, CT 06457-3921
(860) 704-4090
(860) 704-4123
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004042214
—
CT
Enumeration date
11/30/2006
Last updated
06/15/2015
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