Natchaug Hospital
Organization Active NPI Substance Abuse Rehabilitation Facility · Putnam, CT
NPI 1003145582 · NPPES record last updated Dec 13, 2009
Key facts
- NPI
- 1003145582
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Abuse Rehabilitation Facility 324500000X
- License
- 001670 (CT)
- Legal business name
- NATCHAUG HOSPITAL
- Practice address
- 320 Pomfret St
Putnam, CT 06260-1836 - Phone
- (860) 963-6416
- Fax
- (860) 963-6303
- NPI assigned
- Dec 13, 2009
- Organization subpart
- No
Authorized official
- Name
- Mr. Mark Anthony Melley, LPC
- Title
- Primary Therapist
- Phone
- (860) 963-6416
Corporate family (same tax ID) 4
National Provider Directory
- Tax ID family
- Natchaug Hospital
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | 001670 | CT | Yes |
Addresses
Primary practice location
320 Pomfret St
Putnam, CT 06260-1836
Mailing address
42 Campbell Ave
Vernon, CT 06066-5404
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001670 | Other | CT | DEPARTMENT OF PUBLIC HEALTH |
Other providers in Putnam, CT
- Lisa A. Muray
- Regan Murchison
- Misty M Murdock
- Rebecca Nadeau
- Sarah Naples
- Peter R Neal
- Kim Neely
- Danielle Nelson
- Neri Holzer, MD PC
- Nes Medical Services of Northern Connecticut, P.C.
All providers in Putnam, CT · Substance Abuse Rehabilitation Facility in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.