OrganizationActive
Sb Transitional Sub, LLC
NPI 1811574064 · Developmental Disabilities Clinic/Center · West Hartford, CT
Provider details
- NPI number
- 1811574064
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mary Rodenberg-Roberts, Vp& Sr. Asst. General Counsel(952) 836-2234
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
101 South St Fl 2
West Hartford, CT 06110-1967
Phone: (508) 521-2856
Approximate (ZIP-level) locationGet directions
Mailing address
101 South St Fl 2
West Hartford, CT 06110-1967
Registry dates
- Enumerated
- 2021-03-25
- Last updated
- 2023-11-27
- Certified
- 2023-11-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.