Whalio Doctors

NPI 1003145582

Natchaug Hospital

Organisation Substance Abuse Rehabilitation Facility Putnam, CT

Practice location

Address
320 Pomfret St, Putnam, CT 06260-1836
Phone
(860) 963-6416
Fax
(860) 963-6303
Mailing address
42 Campbell Ave, Vernon, CT 06066-5404

Authorised official

Name
Mark Anthony Melley
Title
Primary Therapist
Phone
(860) 963-6416

Registered specialties

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X Licence 001670 (CT)

Registry record

NPI
1003145582
Entity type
Organization
NPI issued
13 Dec 2009
Record last updated
13 Dec 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.