STATE OF CONNECTICUT

FARMINGTON, CT
NPI1902891682
Other NameJOHN DEMPSEY HOSPITAL- SUBPROVIDER
Entity TypeOrganization
Authorized ContactJOHN BIANCAMANO
Chief Financial Officer
860-679-1145
Organization Subpart ?No
Primary Taxonomy273R00000X Psychiatric Unit
(Licence: CT  00065)
Enumeration Date2005-09-19
Last Update Date2009-06-17
Business Address
STATE OF CONNECTICUT
263 FARMINGTON AVENUE
FARMINGTON, CT 06030-5355
Phone number: 860-679-2916
Mailing Address
STATE OF CONNECTICUT
263 FARMINGTON AVENUE
FARMINGTON, CT 06030-5355
Phone number: 860-679-2916