Organization
NR CONNECTICUT, LLC
Active
Organization
NR CONNECTICUT, LLC
Active
Other names
Retreat Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT KOROGODSKY (CHIEF ADMINISTRATIVE OFFICER)
(561) 444-3512
Entity
Organization
Contact information
Practice address
915 ELLA T GRASSO BLVD, NEW HAVEN, CT 06519-5516
(561) 444-3512
Mailing address
915 ELLA T GRASSO BLVD, NEW HAVEN, CT 06519-5516
(203) 349-9400
(800) 915-6119
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
03/25/2022
Last updated
12/16/2022
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