| Doctor Name: | MR. JIM PINTO MOUTINHO |
| NPI Number: | 1932255726 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MS LADC |
| License Number: | |
| Business Practice Address: | 70 Whiting St New Britain, CT - 060513183 |
| Business Phone Number: | 8608273313 |
| Business Fax Number: | 8608273317 |
| Mailing Address: | 70 Whiting Street, NEW BRITAIN |
| State: | CT |
| Postal Code: | 06051 |
| Phone Number: | 8608273313 |
| Fax Number: | 8608273317 |
| NPI Enumeration Date: | 01/26/2007 |
| NPI Last Update Date: | 01/24/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |