| Connecticut Behavioral Health Assoc. P.c. | |
|
41 Fair Harbour Pl New London CT 06320-4710 | |
| (860) 437-6910 | |
| (860) 437-6920 |
| Full Name | Connecticut Behavioral Health Assoc. P.c. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 41 Fair Harbour Pl, New London, Connecticut |
| Authorized Official Name and Position | Diana Adcock (ADMIN.) |
| Authorized Official Contact | 8604376914 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Connecticut Behavioral Health Assoc. P.c. 41 Fair Harbour Pl New London CT 06320-4710 Ph: (860) 437-6910 | Connecticut Behavioral Health Assoc. P.c. 41 Fair Harbour Pl New London CT 06320-4710 Ph: (860) 437-6910 |
| NPI Number | 1578774113 |
|---|---|
| Provider Enumeration Date | 05/25/2007 |
| Last Update Date | 04/25/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578774113 | NPI | - | NPPES |
| 004255388 | Other | CT | ST OF CONN GRP #S SCWKRS) |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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