| Organization Name: | NATCHAUG HOSPITAL, INC. |
| NPI Number: | 1295811321 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PAUL V MALONEY (CFO) |
| Mailing Address: | 189 Storrs Road Mansfield Center |
| State: | CT US |
| Postal Code: | 062501683 |
| Phone Number: | 8604561311 |
| Fax Number: | 8604500165 |
| NPI Enumeration Date: | 10/31/2006 |
| NPI Last Update Date: | 04/10/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | H0003 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CT |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |