Natchaug Hospital

NPI 1003145582 - Substance Abuse Rehabilitation Facility - 324500000X

NPI Details
NPI 1003145582
Enumeration Date 12/13/2009
Last Updated 12/13/2009
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name MARK ANTHONY MARK
Position PRIMARY THERAPIST
Phone (860) 963-6416
Fax (860) 963-6303
Practice Location
320 POMFRET ST
PUTNAM CT, 06260-1836, US
Phone (860) 963-6416
Fax (860) 963-6303
Business Location
42 CAMPBELL AVE
VERNON CT, 06066-5404, US
Phone
Fax
Toxanomy
Taxonomy Code 324500000X
License State Connecticut
License Number 001670
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According to our database, Natchaug Hospital NPI is 1003145582, taxonomy code is 324500000X and license number is 001670, license state is located at Connecticut. Natchaug Hospital physically located at 320 Pomfret St, Putnam CT, 06260-1836. NPI Number 1033115704 has the healthcare provider type.

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1003145582 NPI number is provided on an as is basis without warranty of any kind. 1003145582 is maintained by the National Plan & Provider Enumeration System. The contents of Natchaug Hospital are for informational purposes only.