| The Villages | |
|
1680 Albany Ave Hartford CT 06105-1001 | |
| (860) 236-4511 | |
| Not Available |
| Full Name | The Villages |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1680 Albany Ave, Hartford, Connecticut |
| Authorized Official Name and Position | Caitryn Eileen Gustafson (INTERN) |
| Authorized Official Contact | 8609424015 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Villages 169 Route 87 Columbia CT 06237-1025 Ph: () - | The Villages 1680 Albany Ave Hartford CT 06105-1001 Ph: (860) 236-4511 |
| NPI Number | 1679949051 |
|---|---|
| Provider Enumeration Date | 08/19/2015 |
| Last Update Date | 08/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679949051 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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