St. Vincent Depaul Mission Of Waterbury, Inc. in Waterbury - Community Based Residential Treatment Facility, Mental Illness

St. Vincent Depaul Mission Of Waterbury, Inc. - NPI 1043348204

St. Vincent Depaul Mission Of Waterbury, Inc. is a Community Based Residential Treatment Facility, Mental Illness in Waterbury, Connecticut. St. Vincent Depaul Mission Of Waterbury, Inc. practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for St. Vincent Depaul Mission Of Waterbury, Inc. is 1043348204. The last update date is 2016-08-11.

St. Vincent Depaul Mission Of Waterbury, Inc.'s current location address is 173 Mark Ln, Waterbury, Connecticut. You can contact this provider via phone number 2037570567 and fax number 2037570568. The mailing address for St. Vincent Depaul Mission Of Waterbury, Inc. is 173 Mark Ln, Waterbury, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Organization St. Vincent Depaul Mission Of Waterbury, Inc.
Address 173 Mark Ln, Waterbury, Connecticut
Phone Number 2037570567
Fax Number 2037570568
Sole Proprietor --
Credentials --

Authorized Official

Title or Position EXECUTIVE
Authorized Official Name Iadarola Paul
Telephone Number 2037540000

NPI Number Detail

NPI Number 1043348204
Provider Enumeration Date 2007-03-01
Last Updated Date 2016-08-11

Provider Mailing Address Detail

Address 173 Mark Ln
City Waterbury
State Connecticut (CT)
Post Code 67042474
Phone Number 2037570567
Fax Number 2037570568

Provider's Primary Taxonomy Detail

Speciality Community Based Residential Treatment Facility, Mental Illness
Taxonomy 320800000X
Licence No RCL-0029
Definition:
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4246519 CT --

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FAQs about St. Vincent Depaul Mission Of Waterbury, Inc.

What is the unique 10-digit identifier code assigned to St. Vincent Depaul Mission Of Waterbury, Inc. by the Centers for Medicare & Medicaid Services?

The St. Vincent Depaul Mission Of Waterbury, Inc. has been issued the NPI (National Provider Identifier) 1043348204 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Where is the St. Vincent Depaul Mission Of Waterbury, Inc. located?

The St. Vincent Depaul Mission Of Waterbury, Inc. is located at 173 Mark Ln, Waterbury, CT 67042474.

What is St. Vincent Depaul Mission Of Waterbury, Inc.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for St. Vincent Depaul Mission Of Waterbury, Inc. is Community Based Residential Treatment Facility, Mental Illness, and the taxonomy code that categorizes this field of expertise is 320800000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1043348204 to St. Vincent Depaul Mission Of Waterbury, Inc.?

The Centers for Medicare & Medicaid Services assigned the 1043348204 to St. Vincent Depaul Mission Of Waterbury, Inc. on 2007-03-01.

As of what date were the St. Vincent Depaul Mission Of Waterbury, Inc.'s details last updated?

The information pertaining to the St. Vincent Depaul Mission Of Waterbury, Inc., including its address, specialty, and other details, was most recently updated on 2016-08-11.

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