Organization
HALL-BROOKE BEHAVIORAL HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEWART B. LEVINE M.D. (CLINICAL DIRECTOR)
(203) 221-8801
Entity
Organization
Contact information
Practice address
47 LONG LOTS ROAD, WESTPORT, CT 06880-3828
(203) 221-8801
(203) 227-0547
Mailing address
47 LONG LOTS ROAD, WESTPORT, CT 06880-3828
(203) 221-8801
(203) 227-0547
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
H-0005
CT
261QM0855X
Adolescent and Children Mental Health Clinic/Center
H-0005
CT
283Q00000X
Psychiatric Hospital
Primary
H0005
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
074000
LEGACY ID
CT
01
—
C00051
PART B LEGACY NUMBER
CT
Enumeration date
06/07/2006
Last updated
12/10/2007
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