Organization Name: | LITCHFIELD HILLS HEALING CENTER, LLC |
NPI Number: | 1770994998 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RACHEL DOWNEY ROSA (LICENSED PROFESSIONAL COUNSELOR) |
Mailing Address: | 760 Bantam Road Bantam |
State: | CT US |
Postal Code: | 06750 |
Phone Number: | 8603619333 |
Fax Number: | 8603619334 |
NPI Enumeration Date: | 05/09/2014 |
NPI Last Update Date: | 05/26/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |