Organization Name: | FARRELL TREATMENT CENTER |
NPI Number: | 1710186911 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID BORZELLINA (EXECUTIVE DIRECTOR) |
Mailing Address: | 586 Main Street New Britain |
State: | CT US |
Postal Code: | 06051 |
Phone Number: | 8602254641 |
Fax Number: | 8602254642 |
NPI Enumeration Date: | 07/17/2007 |
NPI Last Update Date: | 02/07/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM0801X |
License Number: | SA0006 |
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: |