Provider Demographics
NPI:1427488576
Name:DCF ALBERT J. SOLNIT CENTER - NORTH CAMPUS
Entity type:Organization
Organization Name:DCF ALBERT J. SOLNIT CENTER - NORTH CAMPUS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SAROFIN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:860-704-4090
Mailing Address - Street 1:36 GARDNER ST
Mailing Address - Street 2:
Mailing Address - City:EAST WINDSOR
Mailing Address - State:CT
Mailing Address - Zip Code:06088-9675
Mailing Address - Country:US
Mailing Address - Phone:860-292-4000
Mailing Address - Fax:860-292-8345
Practice Address - Street 1:36 GARDNER ST
Practice Address - Street 2:
Practice Address - City:EAST WINDSOR
Practice Address - State:CT
Practice Address - Zip Code:06088-9675
Practice Address - Country:US
Practice Address - Phone:860-292-4000
Practice Address - Fax:860-292-8345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-26
Last Update Date:2013-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility