# CONNECTICUT INSTITUTE OF BEHAVIORAL HEALTH INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861866139
- **Authorized official:** MARIA HIGGINS (OFFICE MANAGER)
- **Authorized official phone:** (860) 326-5405

## Contact information

- **Practice address:** 495 GOLD STAR HWY STE 224, GROTON, CT 06340-6230
- **Practice address phone:** (860) 326-5405
- **Practice address fax:** (860) 326-5571
- **Mailing address:** 495 GOLD STAR HWY STE 224, GROTON, CT 06340-6230
- **Mailing address phone:** (860) 326-5405
- **Mailing address fax:** (860) 326-5571

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | 041692 | CT | Yes |

## Other

- **Enumeration date:** 11/24/2015
- **Last updated:** 05/25/2022