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Organization

CORNELL SCOTT HILL HEALTH CORPORATION

Active
Parent organization
CORNELL SCOTT HILL HEALTH CORPORATION
Other names
West Haven Behavioral Health, West Haven Health Center, West Haven Health Behavioral Health
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
410 CAMPBELL AVENUE, WEST HAVEN HEALTH CENTER, WEST HAVEN, CT 06516-7307
(203) 503-3400
(203) 931-3759
Mailing address
PO BOX 7720, CREDENTIALING SPECIALISTH, NEW HAVEN, CT 06519-1233
(203) 503-3174
(203) 503-6515

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
0518
CT
261QH0100X
Health Service Clinic/Center
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)

Other

Enumeration date
12/02/2010
Last updated
10/05/2022
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