NPI 1750459855
State of Connecticut
Practice location
- Address
- 915 River Road, Middletown, CT 06457-3921
- Phone
- (860) 704-4090
- Fax
- (860) 704-4123
Authorised official
- Name
- Michelle Sarofin
- Title
- Superintendent
- Phone
- (860) 704-4090
Registered specialties (2)
Psychiatric Hospital
Primary
Psychiatric Residential Treatment Facility
Registry record
- NPI
- 1750459855
- Entity type
- Organization
- NPI issued
- 30 Nov 2006
- Record last updated
- 15 Jun 2015
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.