NPI 1205362399

Southbay Mental Health

Organisation Early Intervention Provider Agency Windsor, CT

Practice location

Address: 83 Pilgrim Dr, Windsor, CT 06095-1910
Phone: (860) 558-2637

Authorised official

Name: Laura Nolda
Title: Director
Phone: (860) 573-1300

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X Licence 001559 (CT)

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Registry record

NPI: 1205362399
Entity type: Organization
NPI issued: 10 May 2017
Record last updated: 10 May 2017

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.