Organization
CONTINUUM OF CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID HORN (CLINICIAN)
(203) 776-8390
Entity
Organization
Contact information
Practice address
660 WINCHESTER AVE, NEW HAVEN, CT 06511-1969
(203) 776-8390
(203) 776-4176
Mailing address
660 WINCHESTER AVE, NEW HAVEN, CT 06511-1969
(203) 776-8390
(203) 776-4176
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
000393
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000393
CTDPH
CT
Enumeration date
10/19/2016
Last updated
10/19/2016
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