Organization
ADVANCED BEHAVIORAL HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL MOY PH.D. (PRESIDENT AND CEO)
(860) 638-5309
Entity
Organization
Contact information
Practice address
213 COURT ST, MIDDLETOWN, CT 06457-3346
(860) 638-5309
(860) 638-5302
Mailing address
213 COURT ST, MIDDLETOWN, CT 06457-3346
(860) 638-5309
(860) 638-5302
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
01
—
NONE
NONE
CT
Enumeration date
02/02/2022
Last updated
02/02/2022
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