Organization · Type 2 NPI

Dickerson Enterprise LLC

Community/Behavioral Health Agency · Manchester, CT

NPI number 1669993663 Active

Practice location

872 Vernon St
Manchester, CT 06042-2415

Call (860) 416-3500 Map

Other practice locations

872 Vernon St, Manchester, CT 06042-2415 · (860) 416-3500

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	3221 (CT)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

2 other providers at this address

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About NPI 1669993663

Dickerson Enterprise LLC's National Provider Identifier is 1669993663, issued on Jun 29, 2017. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Manchester, CT. The record was last updated on Sep 2, 2025.