Provider Demographics
NPI:1194805309
Name:TOWN OF WEST HARTFORD
Entity type:Organization
Organization Name:TOWN OF WEST HARTFORD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PUPIL SERVICES
Authorized Official - Prefix:MR
Authorized Official - First Name:GLENN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGRATH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-561-6695
Mailing Address - Street 1:50 S MAIN ST
Mailing Address - Street 2:ROOM 426
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06107-2485
Mailing Address - Country:US
Mailing Address - Phone:860-561-6601
Mailing Address - Fax:860-561-6919
Practice Address - Street 1:50 S MAIN ST
Practice Address - Street 2:ROOM 426
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06107-2485
Practice Address - Country:US
Practice Address - Phone:860-561-6601
Practice Address - Fax:860-561-6919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-16
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty