Sunshine Psychiatric Services Inc | |
105 West Rd Ellington CT 06029-5700 | |
(860) 871-5402 | |
(860) 871-5413 |
Full Name | Sunshine Psychiatric Services Inc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 105 West Rd, Ellington, Connecticut |
Authorized Official Name and Position | Mahboob Ahmad Aslam (PRESIDENT) |
Authorized Official Contact | 2039807926 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Sunshine Psychiatric Services Inc 105 West Rd Ellington CT 06029-5700 Ph: (860) 871-5402 | Sunshine Psychiatric Services Inc 105 West Rd Ellington CT 06029-5700 Ph: (860) 871-5402 |
NPI Number | 1386991826 |
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Provider Enumeration Date | 08/14/2012 |
Last Update Date | 08/14/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386991826 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 047643 (Connecticut) | Primary |
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