Healthcare Provider Details

I. General information

NPI: 1437454428
Provider Name (Legal Business Name): NEW HOPE MANOR
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/21/2011
Last Update Date: 01/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 HILLIARD ST
MANCHESTER CT
06042-3002
US

IV. Provider business mailing address

60 HILLIARD ST
MANCHESTER CT
06042-3002
US

V. Phone/Fax

Practice location:
  • Phone: 860-645-4900
  • Fax:
Mailing address:
  • Phone: 860-645-4900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number StateCT

VIII. Authorized Official

Name: MS. KAREN COLT
Title or Position: CHIEF OF CLINICAL OPERATIONS
Credential: LADC
Phone: 860-645-4900