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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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