1548610488 NPI number — FERRARI BEHAVIORAL AND ADVOCACY SERVICES

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1548610488 NPI number — FERRARI BEHAVIORAL AND ADVOCACY SERVICES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FERRARI BEHAVIORAL AND ADVOCACY SERVICES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1548610488
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/21/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
285 COLEBROOK RIVER RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
COLEBROOK
Provider Business Mailing Address State Name:
CT
Provider Business Mailing Address Postal Code:
06021-4214
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
860-985-4205
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
285 COLEBROOK RIVER RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
COLEBROOK
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06021-4214
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
860-985-4205
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/21/2016

Additional Information

Authorized Official

Authorized Official Last Name:
FERRARI
Authorized Official First Name:
RACHEL
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
860-985-4205

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X , with the licence number:  11415349 , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com