Organization · Type 2 NPI

Staywell Health Care Inc

Mental Health Clinic/Center (Including Community Mental Health Center) · Waterbury, CT

NPI number 1083022230 Active

Practice location

402 E Main St
Waterbury, CT 06702-1701

Call (203) 755-1143 Map

Fax (203) 753-3274

Mailing address

80 Phoenix Ave, Suite 201
Waterbury, CT 06702-1418

Specialties and licenses

TaxonomyCodeLicense
Addiction Medicine (Family Medicine) Physician 207QA0401X0479 (CT)
Federally Qualified Health Center (FQHC) 261QF0400X0479 (CT)
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801X0479 (CT)

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1083022230

Staywell Health Care Inc's National Provider Identifier is 1083022230, issued on Jul 31, 2014. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Waterbury, CT. The record was last updated on Feb 12, 2018.