Organization
STATE OF CONNECTICUT
Active
Other names
Problem Gambling Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID ALBEA CROMPTON (CHIEF FINANCIAL OFFICER)
(860) 418-6923
Entity
Organization
Contact information
Practice address
2 VANCE DRIVE RUSSELL HALL, CONNECTICUT VALLEY HOSPITAL, MIDDLETOWN, CT 06457
(860) 262-6601
(860) 344-2360
Mailing address
PO BOX 351, 2 VANCE DRIVE RUSSELL HALL CONNECTICUT VALLEY HOSPITAL, MIDDLETOWN, CT 06457
(860) 262-6601
(860) 344-2360
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/12/2006
Last updated
08/22/2020
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