Healthcare Provider Details

I. General information

NPI: 1992823538
Provider Name (Legal Business Name): THE CONNECTION INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2007
Last Update Date: 01/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

282 DWIGHT ST
NEW HAVEN CT
06511-3233
US

IV. Provider business mailing address

205 ORANGE STREET
NEW HAVEN CT
06510
US

V. Phone/Fax

Practice location:
  • Phone: 203-777-3216
  • Fax: 203-772-0705
Mailing address:
  • Phone: 203-776-9900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number0048
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License NumberRLC-0012
License Number StateCT

VIII. Authorized Official

Name: MRS. LINDSEY M BOHAN
Title or Position: PRACTICE MANAGER
Credential:
Phone: 203-776-9900