Healthcare Provider Details

I. General information

NPI: 1225339666
Provider Name (Legal Business Name): THE CONNECTION INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2010
Last Update Date: 11/16/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

955 S MAIN ST
MIDDLETOWN CT
06457-5153
US

IV. Provider business mailing address

955 S MAIN ST
MIDDLETOWN CT
06457-5153
US

V. Phone/Fax

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

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: ALBERT NAIDE
Title or Position: MASTER CREDENTIALER
Credential:
Phone: 860-343-5500