| Organization Name: | CONNECTICUT BEHAVIORAL HEALTH ASSOC. P.C. |
| NPI Number: | 1023229663 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT FOX (CEO) |
| Mailing Address: | 41 Fair Harbour Pl New London |
| State: | CT US |
| Postal Code: | 063204710 |
| Phone Number: | 8604376910 |
| Fax Number: | 8604376920 |
| NPI Enumeration Date: | 05/25/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |