River Rock Psychiatry, Llc

NPI 1124405709 - Clinic/Center - 261QM0850X

NPI Details
NPI 1124405709
Enumeration Date 05/02/2015
Last Updated 05/02/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name SUSAN SUSAN
Position MEMBER
Phone (860) 343-8875
Fax
Practice Location
11 S MAIN ST
STE 2
MIDDLETOWN CT, 06457-3656, US
Phone (860) 343-8875
Fax
Business Location
11 S MAIN ST
STE 2
MIDDLETOWN CT, 06457-3656, US
Phone (860) 343-8875
Fax
Toxanomy
Taxonomy Code 261QM0850X
License State
License Number
Remove 1124405709 NPI Number
 

According to our database, River Rock Psychiatry, Llc NPI is 1124405709, taxonomy code is 261QM0850X River Rock Psychiatry, Llc physically located at 11 S Main St, Middletown CT, 06457-3656. NPI Number 1033115704 has the healthcare provider type.

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1124405709 NPI number is provided on an as is basis without warranty of any kind. 1124405709 is maintained by the National Plan & Provider Enumeration System. The contents of River Rock Psychiatry, Llc are for informational purposes only.