Organization
STATE OF CONNECTICUT
Active
Other names
DBA Cedarcrest Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID ALBERT CROMPTON (CHIEF FINANCIAL OFFICER)
(860) 418-6923
Entity
Organization
Contact information
Practice address
525 RUSSELL RD, NEWINGTON, CT 06111
(860) 666-7681
(860) 666-7675
Mailing address
525 RUSSELL RD, NEWINGTON, CT 06111
(860) 666-7681
(860) 666-7675
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Enumeration date
07/12/2006
Last updated
08/22/2020
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