| Wrh Mental Health Services, Llc | |
|
141 N Main St Branford CT 06405-3018 | |
| (203) 315-8012 | |
| (203) 315-8013 |
| Full Name | Wrh Mental Health Services, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 141 N Main St, Branford, Connecticut |
| Authorized Official Name and Position | William Raymond Hendrixson (OWNER) |
| Authorized Official Contact | 2033158012 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wrh Mental Health Services, Llc 141 N Main St Branford CT 06405-3018 Ph: (203) 315-8012 | Wrh Mental Health Services, Llc 141 N Main St Branford CT 06405-3018 Ph: (203) 315-8012 |
| NPI Number | 1972788271 |
|---|---|
| Provider Enumeration Date | 01/04/2008 |
| Last Update Date | 11/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972788271 | NPI | - | NPPES |
| 004188711 | Medicaid | CT | |
| 1255383915 | Other | CT | INDV NPI |
| 1972788271 | Other | CT | GROUP NPI |
| C03838 | Other | CT | GROUP PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 001669 (Connecticut) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 001669 (Connecticut) | Secondary |
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