Organization
CORRECTIONAL MANAGEED HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH C COLEMAN PSYD (SUPERVISING PSYCHOLOGIST)
(860) 627-2271
Entity
Organization
Contact information
Practice address
1153 EAST ST S, SUFFIELD, CT 06080-0001
(860) 627-2271
(860) 627-2265
Mailing address
1153 EAST ST S, SUFFIELD, CT 06080-0001
(860) 627-2271
(860) 627-2265
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
002217
CT
Other
Enumeration date
03/03/2011
Last updated
03/03/2011
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