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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