NPI 1366950206
State of Connecticut
Practice location
- Address
- 70 O'Brien Drive, Middletown, CT 06457
- Phone
- (860) 418-6918
- Mailing address
- PO Box 70, Middletown, CT 06457-0070
Authorised official
- Name
- Stephen Dipietro
- Title
- Chief Fiscal Officer
- Phone
- (860) 418-6926
Registered specialties
Psychiatric Hospital
Primary
Registry record
- NPI
- 1366950206
- Entity type
- Organization
- NPI issued
- 12 Jan 2018
- Record last updated
- 12 Jan 2018
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.