Masonicare Health Center
NPI #1174516041 in Wallingford, Connecticut
Provider Information
- NPI Number
- 1174516041
- Entity Type
- Organization
- Organization Name
- Masonicare Health Center
- Primary Specialty
- Psychiatric Hospital
- Enumeration Date
- Aug 25, 2005
- Last Updated
- Jan 26, 2024
Practice Location
- Address
- 22 MASONIC AVE
- City
- Wallingford
- State
- Connecticut
- ZIP Code
- 06492-3048
- Phone
- (203) 679-5900
Authorized Official
- Name
- JON-PAUL VENOIT
- Title
- PRESIDENT & CEO
- Phone
- (203) 679-5000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatric Hospital |
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