NPI 1215220645

William Gomes

Organisation Case Management Agency Waterbury, CT

Practice location

Address: 34 Murray St, Waterbury, CT 06710-1920
Phone: (203) 756-8317
Fax: (203) 756-8310

Authorised official

Name: Sandra Porteus
Title: Exec Dir
Phone: (203) 756-8317

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X Licence 007396 (CT)

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Registry record

NPI: 1215220645
Entity type: Organization
NPI issued: 18 May 2011
Record last updated: 6 Jun 2011

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.