| NPI | 1629062906 |
|---|---|
| Doing Business As | PROVIDENCE BEHAVIORAL HEALTH HOSPITAL |
| Entity Type | Organization |
| Authorized Contact | JAMES M HARRIS Regional Director Of Reimbursement 860-714-4396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: MA 628) |
| Additional Taxonomies | 273R00000X Psychiatric Unit (Licence: MA 628) |
| 282N00000X General Acute Care Hospital (Licence: MA 35) | |
| Enumeration Date | 2005-09-01 |
| Last Update Date | 2019-12-18 |