Ellington Behavioral Health

LBN: Waire Llc
Ellington Behavioral Health is an health care organization with primary practice located at 105 West Rd , Ellington CT 06029-5700. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry, Ambulatory Health Care Facilities / Clinic/Center. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty. Waire Llc can be contacted via phone (860) 871-5402, or through Shahab, Erum via phone (860) 871-5402.

Contact Information

Primary practice address
105 West Rd Ellington CT 06029-5700
Phone: (860) 871-5402
Fax: (860) 871-5413
Website:
Map and Directions
Authorized official contact:
Name: Shahab, Erum Doctor of Medicine (MD)
Phone: (860) 871-5402

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 043112 Connecticut
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X 043112 Connecticut
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 043112 Connecticut

Profile Details

NPI number 1871744243
LBN Legal business name Waire Llc
DBA Doing business as Ellington Behavioral Health
Authorized official Shahab, Erum Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2008
Last updated Feb 24th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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