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NPI Code Detail

MEDICARE: MENTAL HEALTH CONNECTICUT, INC

MEDICARE: MENTAL HEALTH CONNECTICUT, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1320800000XMental Illness Community Based Residential Treatment FacilityRLC-0028CT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1004246460OTHERCTCONNECTICUT MEDICAL ASSIS

General Provider Information

NPI Number : 1043410954
Entity Type Code : Organization
Provider Name (Legal Business Name) : MENTAL HEALTH CONNECTICUT, INC
Provider Business Mailing Address
First Line : 20-30 BEAVER RD STE 108
Second Line :
City : WETHERSFIELD
State : CT
Zip : 06109-2242
Country : US
Telephone Number : 860-529-1970
Fax Number : 860-529-6833
Provider Business Practice Location Address
First Line : 76 BATTERSON PARK RD STE 303
Second Line :
City : FARMINGTON
State : CT
Zip : 06032-2571
Country : US
Telephone Number : 860-856-7963
Fax Number :
Authorized Official
Title or Position : CFO
Name : JENNIFER PULSE
Credential :
Telephone Number : 860-856-7963
Provider Enumeration Date : 07/19/2007
Last Update Date : 07/10/2025

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Directions to “MENTAL HEALTH CONNECTICUT, INC ” Practice Location

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