Organization
CATHOLIC CHARITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUHAIL RODRIGUEZ MS (CLINICAL SUPERVISOR)
(860) 692-1002
Entity
Organization
Contact information
Practice address
220 GRANDVIEW TER, HARTFORD, CT 06114-2209
(860) 997-1482
Mailing address
220 GRANDVIEW TER, HARTFORD, CT 06114-2209
(860) 997-1482
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/30/2012
Last updated
05/30/2012
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