Organization · Type 2 NPI
Genoa, A Qol Healthcare Company
Adult Mental Health Clinic/Center · East Hartford, CT
NPI number
1790211779
Active
Practice location
287 Main St Ste A2
East Hartford, CT 06118-1885
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Mental Health Clinic/Center Primary | 261QM0850X | 0013767 (CT) |
Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
About NPI 1790211779
Genoa, A Qol Healthcare Company's National Provider Identifier is 1790211779, issued on May 11, 2017. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in East Hartford, CT. The record was last updated on May 11, 2017.