| Advanced Behavioral Health, Inc. | |
|
213 Court St Middletown CT 06457-3346 | |
| (860) 638-5309 | |
| (860) 638-5302 |
| Full Name | Advanced Behavioral Health, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 213 Court St, Middletown, Connecticut |
| Authorized Official Name and Position | Samuel Moy (PRESIDENT AND CEO) |
| Authorized Official Contact | 8606385309 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Behavioral Health, Inc. 213 Court St Middletown CT 06457-3346 Ph: (860) 638-5309 | Advanced Behavioral Health, Inc. 213 Court St Middletown CT 06457-3346 Ph: (860) 638-5309 |
| NPI Number | 1770236424 |
|---|---|
| Provider Enumeration Date | 02/02/2022 |
| Last Update Date | 02/02/2022 |
| Certification Date | 02/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770236424 | NPI | - | NPPES |
| NONE | Other | CT | NONE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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