State of Ct. - Office of the Comptroller
NPI #1245376136 in Southbury, Connecticut
Provider Information
- NPI Number
- 1245376136
- Entity Type
- Organization
- Organization Name
- State of Ct. - Office of the Comptroller
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Jan 29, 2007
- Last Updated
- Mar 25, 2016
Practice Location
- Address
- 1461 SOUTH BRITAIN ROAD
- City
- Southbury
- State
- Connecticut
- ZIP Code
- 06488-0901
- Phone
- (203) 586-2000
Authorized Official
- Name
- MR. CRESCENTINO SECCHIAROLI
- Title
- FISCAL ADMINISTRATOR
- Phone
- (860) 418-8712
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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