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Natchaug Hospital

Substance Abuse Rehabilitation Facility in Putnam, CT. Organization (NPI-2).

NPI number1003145582
StatusActive
Last updated in NPPESDec 13, 2009

Details

NPI
1003145582
Entity type
Organization (NPI-2)
Legal business name
Natchaug Hospital
Organization subpart
No
Enumeration date
Dec 13, 2009
Last updated
Dec 13, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
324500000X Substance Abuse Rehabilitation Facility001670CTYes

Practice location

320 Pomfret St
Putnam, CT 06260-1836

Phone 860-963-6416 · Fax 860-963-6303

Mailing address

42 Campbell Ave
Vernon, CT 06066-5404

Authorized official

Mark Anthony Melley
Primary Therapist
8609636416

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