Organization
CENTRAL BEHAVIORAL HEALTH ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BASSAM AWWA MD (OWNER)
(860) 460-8461
Entity
Organization
Contact information
Practice address
41 OLD TURNPIKE RD, SOUTHINGTON, CT 06489-3633
(860) 276-9295
(860) 276-9296
Mailing address
41 OLD TURNPIKE RD, SOUTHINGTON, CT 06489-3633
(860) 276-9295
(860) 276-9296
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Enumeration date
08/29/2011
Last updated
10/12/2011
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