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Organization

STONINGTON BEHAVIORAL HEALTH INC

Active
Other names
Stonington Institute
Organization subpart
No

Provider details

NPI number
Authorized official
STEVE FILTON (VICE PRESIDENT)
(610) 768-3300
Entity
Organization

Contact information

Practice address
618 POQUONNOCK RD, GROTON, CT 06340
(860) 445-3021
Mailing address
618 POQUONNOCK RD, GROTON, CT 06340
(860) 445-3021

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
103TF0000X
Family Psychologist
103TP2701X
Group Psychotherapy Psychologist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0060
CT
01
0482
STATE
CT
Enumeration date
08/08/2017
Last updated
08/08/2017
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