Healthcare Provider Details

I. General information

NPI: 1427488576
Provider Name (Legal Business Name): DCF ALBERT J. SOLNIT CENTER - NORTH CAMPUS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/26/2013
Last Update Date: 11/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36 GARDNER ST
EAST WINDSOR CT
06088-9675
US

IV. Provider business mailing address

36 GARDNER ST
EAST WINDSOR CT
06088-9675
US

V. Phone/Fax

Practice location:
  • Phone: 860-292-4000
  • Fax: 860-292-8345
Mailing address:
  • Phone: 860-292-4000
  • Fax: 860-292-8345

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. MICHELLE MARIE SAROFIN
Title or Position: SUPERINTENDENT
Credential: LCSW
Phone: 860-704-4090