| 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 | 1041C0700X Social Worker Clinical (Licence: CT 0048) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CT 0048) | |
| 2084P0802X Psychiatry & Neurology Addiction Psychiatry (Licence: CT 0048) | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: CT 0048) | |
| 2084P0805X Psychiatry & Neurology Geriatric Psychiatry (Licence: CT 0048) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2015-01-26 |