Individual provider · Type 1 NPI
Joseph Mancinone, LMFT
Emotionally Disturbed Childrens' Residential Treatment Facility · Roxbury, CT
NPI number
1669866315
Active
Practice location
271 Southbury Rd
Roxbury, CT 06783-2101
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | 001202 (CT) |
Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
About NPI 1669866315
Joseph Mancinone, LMFT's National Provider Identifier is 1669866315, issued on Mar 20, 2015. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Roxbury, CT. The record was last updated on Mar 20, 2015.