| NPI | 1154364016 |
|---|---|
| Doing Business As | MANCHESTER MEMORIL HOSPITAL PSYCHIATRIC |
| Entity Type | Organization |
| Authorized Contact | PETER KARL CEO 860-646-1222 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 273R00000X Psychiatric Unit (Licence: CT 0048) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: CT 0048) | |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: CT 0048) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 0048) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CT 0048) | |
| 1041C0700X Social Worker, Clinical (Licence: CT 0048) | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2015-01-26 |