| The Wellspring Foundation, Inc. | |
|
21 Arch Bridge Rd. Bethlehem CT 06751-0370 | |
| (203) 266-8000 | |
| (203) 266-8030 |
| Full Name | The Wellspring Foundation, Inc. |
|---|---|
| Speciality | Psychiatric Residential Treatment Facility |
| Location | 21 Arch Bridge Rd., Bethlehem, Connecticut |
| Authorized Official Name and Position | Harvey Newman (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2032668110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Wellspring Foundation, Inc. 21 Arch Bridge Rd. P.o. Box 370 Bethlehem CT 06751-0370 Ph: (203) 266-8000 | The Wellspring Foundation, Inc. 21 Arch Bridge Rd. Bethlehem CT 06751-0370 Ph: (203) 266-8000 |
| NPI Number | 1154475184 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 11/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154475184 | NPI | - | NPPES |
| 004040929 | Medicaid | CT |
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