NPI | 1902921380 |
---|---|
Former Legal Business Name | CORNELL SCOTT HILL HEALTH CORPORATION |
Doing Business As | CORNELL SCOTT HILL HEALTH CORPORATION |
Doing Business As | CORNELL SCOTT-HILL HEALTH CENTER AT SARGENT DRIVE |
Former Legal Business Name | CORNELL SCOTT-HILL HEALTH CORPORATION |
Doing Business As | CORNELL SCOTT HILL HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | SOL MARIA GONZALEZ Credentialing Specialist 203-503-3174 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CT 0004) |
Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CT 0459) |
261QD0000X Clinic/Center, Dental | |
261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) | |
261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) | |
261QH0100X Clinic/Center, Health Services | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
291U00000X Clinical Medical Laboratory | |
324500000X Substance Abuse Rehabilitation Facility (Licence: CT SA-0122) | |
Enumeration Date | 2007-03-21 |
Last Update Date | 2022-07-21 |