MENTAL HEALTH ASSOCIATION OF CONNECTICUT, INC


Address: 20-30 Beaver Rd Ste 108, Wethersfield, CT 06109-2242
Phone: 8605291970

MENTAL HEALTH ASSOCIATION OF CONNECTICUT, INC (NPI# 1043410954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043410954
Entity Type Organization
Organization Name MENTAL HEALTH ASSOCIATION OF CONNECTICUT, INC
Practice Address 20-30 Beaver Rd Ste 108
Wethersfield
CT 06109-2242
Practice Telephone 8605291970
Practice Fax Number 8605296833
Mailing Telephone 8605291970
Mailing Fax Number 8605296833
Enumeration Date 2007-07-19
Last Update Date 2007-07-19
Authorized Official Name MR. ROBERT L. MERCADO (CFO)
Authorized Official Telephone 8605291970
Authorized Official Credential MBA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320800000X Community Based Residential Treatment Facility, Mental Illness RLC-0028 CT Residential Treatment Facilities

Office Location

Street Address 20-30 BEAVER RD STE 108
City WETHERSFIELD
State CT
Zip Code 06109-2242

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Taxonomy Information

Taxonomy Code 320800000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment Facility, Mental Illness

Taxonomy Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Notes: [7/1/2003: new]

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NPI Name Taxonomy Address Enumeration
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1265649297 Recovery Network of Programs, Inc. Community Based Residential Treatment Facility, Mental Illness 964 Iranistan Ave, Bridgeport, CT 06604-3710 2007-05-17
1023225646 Regional Network of Programs, Inc. Community Based Residential Treatment Facility, Mental Illness 74 Huntington Rd, Bridgeport, CT 06608-1006 2007-05-16
1518085158 Also-cornerstone, Inc Community Based Residential Treatment Facility, Mental Illness 98 Park St, New Haven, CT 06511-5402 2007-03-26
1992823538 The Connection Inc. Community Based Residential Treatment Facility, Mental Illness 282 Dwight St, New Haven, CT 06511-3233 2007-03-26
1922132083 Continuum of Care, Inc. Community Based Residential Treatment Facility, Mental Illness 599 Howard Ave, New Haven, CT 06519-2112 2007-03-14
1043348204 St. Vincent Depaul Mission of Waterbury, Inc. Community Based Residential Treatment Facility, Mental Illness 86 Midland Rd # 88, Waterbury, CT 06705-3414 2007-03-01
1083750343 Central Naugatuck Valley Help, Inc. Community Based Residential Treatment Facility, Mental Illness 17 Arch St, Waterbury, CT 06710-1901 2007-01-30
1558407841 Central Naugatuck Valley Help, Inc. Community Based Residential Treatment Facility, Mental Illness 44 Cook St, Torrington, CT 06790-6420 2007-01-30
1083707954 Community Mental Affiliates Inc Community Based Residential Treatment Facility, Mental Illness 5 Hart St, Rear Location, New Britain, CT 06052-1701 2006-10-02
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Competitor

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City WETHERSFIELD
Zip Code 06109

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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