Organization
VA HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN HILL CISW (CLINICAL COORDINATOR)
(203) 932-5711
Entity
Organization
Contact information
Practice address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(203) 932-5711
Mailing address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
06238
CT
Other
Enumeration date
09/06/2006
Last updated
11/04/2008
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