Organization
HILL HEALTH CORPORATION
Active
Other names
Northside
Organization subpart
No
Provider details
NPI number
Authorized official
SOL MARIA GONZALEZ (CREDENTIALING SPECIALIST)
(203) 503-3174
Entity
Organization
Contact information
Practice address
226 DIXWELL AVE, NEW HAVEN, CT 06511-3456
(203) 503-3205
(203) 503-3455
Mailing address
PO BOX 7720, NEW HAVEN, CT 06519-0720
(203) 503-3205
(203) 503-3455
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
C0264
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004235918
—
CT
Enumeration date
06/07/2007
Last updated
01/24/2022
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