Organization
CATHOLIC CHARITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROLANDO MARTINEZ (EXECUTIVE DIRECTOR)
(860) 527-1124
Entity
Organization
Contact information
Practice address
45 WADSWORTH ST, HARTFORD, CT 06106-7108
(860) 527-1124
(860) 724-2539
Mailing address
45 WADSWORTH ST, HARTFORD, CT 06106-7108
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
101YM0800X
CT
Other
Enumeration date
08/18/2009
Last updated
08/18/2009
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