NPI 1174516041

Masonicare Health Center

Organisation Psychiatric Hospital Wallingford, CT

Practice location

Address: 22 Masonic Ave, Wallingford, CT 06492-3048
Phone: (203) 679-5900

Authorised official

Name: Jon-Paul Venoit
Title: President & Ceo
Phone: (203) 679-5000

Registered specialties

Psychiatric Hospital Primary

Hospitals Taxonomy 283Q00000X

Other Psychiatric Hospital providers in Connecticut →

Registry record

NPI: 1174516041
Entity type: Organization
NPI issued: 25 Aug 2005
Record last updated: 26 Jan 2024

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.