Intercommunity Mental Health Group

NPI 1245430891 - Clinic/Center - 261QM0801X

NPI Details
NPI 1245430891
Enumeration Date 07/23/2007
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MARSHALL MARSHALL
Position VICE PRESIDENT OF ADMINISTRATION
Phone (860) 569-5900
Fax
Practice Location
505 SILAS DEANE HWY
WETHERSFIELD CT, 06109-2216, US
Phone (860) 569-5900
Fax
Business Location
281 MAIN ST
EAST HARTFORD CT, 06118-1823, US
Phone (860) 569-5900
Fax
Toxanomy
Taxonomy Code 261QM0801X
License State Connecticut
License Number C-0109
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According to our database, Intercommunity Mental Health Group NPI is 1245430891, taxonomy code is 261QM0801X and license number is C-0109, license state is located at Connecticut. Intercommunity Mental Health Group physically located at 505 Silas Deane Hwy, Wethersfield CT, 06109-2216. NPI Number 1033115704 has the healthcare provider type.

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1245430891 NPI number is provided on an as is basis without warranty of any kind. 1245430891 is maintained by the National Plan & Provider Enumeration System. The contents of Intercommunity Mental Health Group are for informational purposes only.