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NPI 1194670851

NPI 1194670851 : EMEND HEALTH COMPANY (CT) LLC : NEW HAVEN, CT

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General NPI Number Information
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    NPI Number           |    1194670851
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    Entity Type          |    Organization 
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    Legal Business Name  |    EMEND HEALTH COMPANY (CT) LLC 
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Dates
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    Enumeration Date     |    02/27/2026
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    Last Update Date     |    02/27/2026
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Provider Practice Location Address
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    Address Line         |    915 ELLA T GRASSO BLVD 
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    City                 |    NEW HAVEN
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    State                |    CT
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    Zip                  |    06519-5516
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    Country              |    US
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    Telephone            |    818-612-1432
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    Fax                  |    727-213-9076
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Provider Business Mailing Address
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    Address Line         |    1910 ORANGE TREE LN STE 300 
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    City                 |    REDLANDS
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    State                |    CA
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    Zip                  |    92374-4500
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    Country              |    US
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    Telephone            |    818-612-1432
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    Fax                  |    727-213-9076
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Authorized Official
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    Title or Position    |    MANAGER
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    Name                 |     CHRISTOPHER A WILSON 
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    Credential           |    
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    Telephone            |    818-612-1432
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    320600000X
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    Taxonomy Name        |    Intellectual and/or Developmental Disabilities Residential Treatment Facility
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    License Number       |    
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    License Number State |    
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