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Organization

HALL-BROOKE BEHAVIORAL HEALTH SERVICES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAMES MCCREATH PH.D. (PRESIDENT/CEO)
(203) 221-8801
Entity
Organization

Contact information

Practice address
47 LONG LOTS RD, WESTPORT, CT 06880-3828
(203) 221-8801
Mailing address
47 LONG LOTS RD, WESTPORT, CT 06880-3828
(203) 221-8801

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
008002612
CT
01
07-4611
MEDICARE PART B
CT
01
C-00051
MEDICARE GROUP
CT
Enumeration date
09/09/2008
Last updated
02/11/2009
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