| Organization Name: | MENTAL HEALTH ASSOCIATION OF CONNECTICUT, INC |
| NPI Number: | 1043410954 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT L. MERCADO (CFO) |
| Mailing Address: | 20-30 Beaver Rd Ste 108 Wethersfield |
| State: | CT US |
| Postal Code: | 061092242 |
| Phone Number: | 8605291970 |
| Fax Number: | 8605296833 |
| NPI Enumeration Date: | 07/19/2007 |
| NPI Last Update Date: | 07/19/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 320800000X |
| License Number: | RLC-0028 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Residential Treatment Facilities |
| Taxonomy Classification: | Community Based Residential Treatment Facility, Mental Illness |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |