Problem Gambling Services | |
2 Vance Drive Russell Hall Connecticut Valley Hospital Middletown CT 06457 | |
(860) 262-6601 | |
(860) 344-2360 |
Full Name | Problem Gambling Services |
---|---|
Speciality | Clinic/center - Adult Mental Health |
Location | 2 Vance Drive Russell Hall, Middletown, Connecticut |
Authorized Official Name and Position | David Albea Crompton (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 8604186923 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Problem Gambling Services Po Box 351 2 Vance Drive Russell Hall Connecticut Valley Hospital Middletown CT 06457 Ph: (860) 262-6601 | Problem Gambling Services 2 Vance Drive Russell Hall Connecticut Valley Hospital Middletown CT 06457 Ph: (860) 262-6601 |
NPI Number | 1225063860 |
---|---|
Provider Enumeration Date | 07/12/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225063860 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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