Organization
YALE NEW HAVEN HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KRISTIN OLSEN LADC (LICENSED ALCOHOL AND DRUG COUNSELOR)
(203) 784-8704
Entity
Organization
Contact information
Practice address
1294 CHAPEL ST, NEW HAVEN, CT 06511-4515
(203) 784-8704
(203) 784-8703
Mailing address
1294 CHAPEL ST, NEW HAVEN, CT 06511-4515
(203) 784-8704
(203) 784-8703
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
001037
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001037
—
CT
Enumeration date
07/15/2013
Last updated
07/15/2013
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