NPI 1225484751
Prospect Manchester Hospital, INC.
Practice location
- Address
- 320 Main St, Manchester, CT 06040-4144
- Phone
- (860) 646-1222
Authorised official
- Name
- Robert Jon Elders
- Title
- Secretary
- Phone
- (714) 788-1249
Registered specialties (7)
Psychiatric Hospital Unit
Primary
Clinical Social Worker
Psychiatry Physician
Addiction Psychiatry Physician
Child & Adolescent Psychiatry Physician
Geriatric Psychiatry Physician
Psychiatric/Mental Health Nurse Practitioner
Registry record
- NPI
- 1225484751
- Entity type
- Organization
- NPI issued
- 13 May 2016
- Record last updated
- 11 Jan 2021
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.