State of Connecticut
State of Connecticut is a Psychiatric Hospital Unit in Farmington, Connecticut. Licensed in Connecticut. Registered with an NPI since 2005.
- Licensed in
- CT
- In the registry since
- 2005
Practice location Address checks out
263 Farmington AveFarmington, CT 06030-5355
Phone: (860) 679-2916
Fax: (860) 679-3071
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric Hospital Unit (primary) | Taxonomy 273R00000X · Licence 00065 (CT) |
|---|
Record details
| NPI number | 1902891682 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | John Biancamano — Chief Financial Officer · (860) 679-1145 |
| Other names | John Dempsey Hospital- Subprovider |
| NPI enumerated | September 19, 2005 |
| Last updated in NPPES | June 17, 2009 |
| Mailing address | 263 Farmington Avenue, Farmington, CT 06030-5355 |