NPI 1043348204

St. Vincent Depaul Mission of Waterbury, INC.

Organisation Mental Illness Community Based Residential Treatment Facility Waterbury, CT

Practice location

Address: 86 Midland Rd # 88, Waterbury, CT 06705-3414
Phone: (203) 753-3342
Fax: (203) 753-9900
Mailing address: 173 Mark Ln Suite 6, Waterbury, CT 06704-2474

Authorised official

Name: Paul Iadarola
Title: Executive Director
Phone: (203) 754-0000

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence RCL-0029 (CT)

Other Community Based Residential Treatment Facility, Mental Illness providers in Connecticut →

Registry record

NPI: 1043348204
Entity type: Organization
NPI issued: 1 Mar 2007
Record last updated: 11 Aug 2016

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.