Organization
CORNELL SCOTT HILL HEALTH CORPORATION
Active
Other names
Adult Psychiatric Clinic, Adult Psychiatric Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
SOL MARIA GONZALEZ (CREDENTIALING SPECIALIST)
(203) 503-3174
Entity
Organization
Contact information
Practice address
400 COLUMBUS AVENUE, ADULT PSYCHIATRIC CLINIC, NEW HAVEN, CT 06519-1233
(203) 503-3075
(035) 033-2962
Mailing address
PO BOX 7720, CREDENTIALING SPECIAIST, NEW HAVEN, CT 06519-0720
(203) 503-3174
(203) 503-6515
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004235918
—
CT
Enumeration date
06/11/2007
Last updated
04/29/2020
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