Organization Name: | UNITED SERVICES INC |
NPI Number: | 1063413011 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DIANE L MANNING (PRESIDENT/CEO) |
Mailing Address: | 1007 N Main St Dayville |
State: | CT US |
Postal Code: | 062412123 |
Phone Number: | 8607742020 |
Fax Number: | 8607740826 |
NPI Enumeration Date: | 08/02/2005 |
NPI Last Update Date: | 06/09/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM0801X |
License Number: | CPA-39 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
Taxonomy Definition: |