Organization Name: | COMMUNITY HEALTH AND WELLNESS CENTER OF GREATER TORRINGTON |
NPI Number: | 1073890844 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KATHLEEN GRIMAUD (CHEIF EXECUTIVE OFFICER) |
Mailing Address: | 469 Migeon Ave Torrington |
State: | CT US |
Postal Code: | 067904643 |
Phone Number: | 8604890931 |
Fax Number: | 8604893325 |
NPI Enumeration Date: | 11/08/2011 |
NPI Last Update Date: | 11/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP0904X |
License Number: | 007606 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CT |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Public Health, Federal |
Taxonomy Definition: |