Laurel Health Services, LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Hamden, CT. Organization (NPI-2).
NPI number1891716627
StatusActive
Last updated in NPPESNov 28, 2011
Details
- NPI
- 1891716627
- Entity type
- Organization (NPI-2)
- Legal business name
- Laurel Health Services, LLC
- Organization subpart
- No
- Enumeration date
- Jul 21, 2006
- Last updated
- Nov 28, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | 589570 | CT | Yes |
Practice location
295 Washington AveSuite 9
Hamden, CT 06518-3025
Phone 203-287-8227 · Fax 203-287-9502
Mailing address
295 Washington AveSuite 9
Hamden, CT 06518-3025
Phone 203-287-8227 · Fax 203-287-9502
Authorized official
Jeffrey Warren Summerville
Partner
2032878227
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