Healthcare Provider Details

I. General information

NPI: 1033404025
Provider Name (Legal Business Name): THE CONNECTION, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2011
Last Update Date: 06/17/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 ROSCOMMON DR
MIDDLETOWN CT
06457-1591
US

IV. Provider business mailing address

100 ROSCOMMON DR
MIDDLETOWN CT
06457-1591
US

V. Phone/Fax

Practice location:
  • Phone: 860-343-5500
  • Fax: 860-343-5509
Mailing address:
  • Phone: 860-343-5500
  • Fax: 860-343-5509

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DEBORAH LANCI
Title or Position: BILLING SPECIALIST
Credential:
Phone: 860-343-5500