| Hall-brooke Behavioral Health Services, Inc. | |
|
47 Long Lots Rd Westport CT 06880-3828 | |
| (203) 221-8801 | |
| Not Available |
| Full Name | Hall-brooke Behavioral Health Services, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 47 Long Lots Rd, Westport, Connecticut |
| Authorized Official Name and Position | James Mccreath (PRESIDENT/CEO) |
| Authorized Official Contact | 2032218801 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hall-brooke Behavioral Health Services, Inc. 47 Long Lots Rd Westport CT 06880-3828 Ph: (203) 221-8801 | Hall-brooke Behavioral Health Services, Inc. 47 Long Lots Rd Westport CT 06880-3828 Ph: (203) 221-8801 |
| NPI Number | 1548419039 |
|---|---|
| Provider Enumeration Date | 09/09/2008 |
| Last Update Date | 02/11/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548419039 | NPI | - | NPPES |
| C-00051 | Other | CT | MEDICARE GROUP |
| 07-4611 | Other | CT | MEDICARE PART B |
| 008002612 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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