Organization
CORNELL SCOTT HILL HEALTH CORPORATION
Active
Parent organization
CORNELL SCOTT HILL HEALTH CORPORATION
Other names
State Street Counseling Services, State Street Health Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
CORNELL SCOTT HILL HEALTH CORPORATION
Authorized official
SOL MARIA GONZALEZ (CREDENTIALING SPECIALIST)
(203) 503-3174
Entity
Organization
Contact information
Practice address
911 STATE ST, STATE STREET HEALTH SERVICES, NEW HAVEN, CT 06511-3926
(203) 503-3530
(203) 782-6243
Mailing address
PO BOX 7720, CREDENTIALING SPECIALIST, NEW HAVEN, CT 06519-0720
(203) 503-3174
(203) 503-6515
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
0518
CT
Other
Enumeration date
12/09/2010
Last updated
05/01/2020
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