| Wildwood Behavioral Health, Llc | |
|
1250 Durham Rd Ste F Madison CT 06443-8015 | |
| (203) 421-6372 | |
| (203) 421-2090 |
| Full Name | Wildwood Behavioral Health, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1250 Durham Rd Ste F, Madison, Connecticut |
| Authorized Official Name and Position | Matthew Gallup (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 6179051269 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wildwood Behavioral Health, Llc 1250 Durham Rd Ste F Madison CT 06443-8015 Ph: (203) 421-6372 | Wildwood Behavioral Health, Llc 1250 Durham Rd Ste F Madison CT 06443-8015 Ph: (203) 421-6372 |
| NPI Number | 1366115552 |
|---|---|
| Provider Enumeration Date | 07/26/2021 |
| Last Update Date | 07/29/2022 |
| Certification Date | 07/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366115552 | NPI | - | NPPES |
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