Healthcare Provider Details

I. General information

NPI: 1154387652
Provider Name (Legal Business Name): THE CONNECTION INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2006
Last Update Date: 01/08/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 ORANGE ST
NEW HAVEN CT
06510-2014
US

IV. Provider business mailing address

205 ORANGE STREET BILLING DEPT
NEW HAVEN CT
06510-2069
US

V. Phone/Fax

Practice location:
  • Phone: 203-776-9900
  • Fax: 203-787-5599
Mailing address:
  • Phone: 203-776-9900
  • Fax: 203-787-5599

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License NumberC-0174
License Number StateCT

VIII. Authorized Official

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