NPI 1669866315

Joseph Mancinone, LMFT

Practitioner Emotionally Disturbed Childrens' Residential Treatment Facility Roxbury, CT

Practice location

Address: 271 Southbury Rd, Roxbury, CT 06783-2101
Phone: (203) 788-5119

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 001202 (CT)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Connecticut →

Registry record

NPI: 1669866315
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Mar 2015
Record last updated: 20 Mar 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.