| Problem Gambling Services | |
|
2 Vance Drive Russell Hall Connecticut Valley Hospital Middletown CT 06457 | |
| (860) 262-6601 | |
| (860) 344-2360 |
| Full Name | Problem Gambling Services |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 2 Vance Drive Russell Hall, Middletown, Connecticut |
| Authorized Official Name and Position | David Albea Crompton (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 8604186923 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Problem Gambling Services Po Box 351 2 Vance Drive Russell Hall Connecticut Valley Hospital Middletown CT 06457 Ph: (860) 262-6601 | Problem Gambling Services 2 Vance Drive Russell Hall Connecticut Valley Hospital Middletown CT 06457 Ph: (860) 262-6601 |
| NPI Number | 1225063860 |
|---|---|
| Provider Enumeration Date | 07/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225063860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (NU) | Primary |
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