NPI | 1831462514 |
---|---|
Doing Business As | CORRECTIONAL MANAGED HEALTH CARE |
Entity Type | Organization |
Authorized Contact | ROBERT BERGER Chief, Cmhc 860-679-5589 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: CT 021797) |
Enumeration Date | 2012-02-11 |
Last Update Date | 2012-02-11 |