Connecticut Center For Human Growth& Dev.

LBN: Walter Van Sambeck
Connecticut Center For Human Growth& Dev. is an health care organization with primary practice located at 244 S Main St , Colchester CT 06415-1405. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Prescribing (Medical). Behavioral Health & Social Service Providers / Professional is the primary health care specialty. Walter Van Sambeck can be contacted via phone (860) 537-3977, or through Van Sambeck, Walter Johannes via phone (860) 537-3977.

Contact Information

Primary practice address
244 S Main St Colchester CT 06415-1405
Phone: (860) 537-3977
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Van Sambeck, Walter Johannes
Phone: (860) 537-3977

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 000493 Connecticut
Behavioral Health & Social Service Providers / Professional 101YP2500X 000493 Connecticut
Behavioral Health & Social Service Providers / Prescribing (Medical) 103TP0016X 023879 Connecticut

Profile Details

NPI number 1538342829
LBN Legal business name Walter Van Sambeck
DBA Doing business as Connecticut Center For Human Growth& Dev.
Authorized official Van Sambeck, Walter Johannes
Entity Organization
Organization subpart 1 No
Enumeration date Dec 10th, 2007
Last updated Jun 16th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538342829 NPPES
Other 1437218823 NPI
Other 1275632994 NPI

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