Wildwood Behavioral Health, Llc

LBN: Wildwood Behavioral Health, Llc
Wildwood Behavioral Health, Llc is an health care organization with primary practice located at 1250 Durham Rd Ste F , Madison CT 06443-8015. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Wildwood Behavioral Health, Llc can be contacted via phone (203) 421-6372, or through Gallup, Matthew via phone (617) 905-1269.

Contact Information

Primary practice address
1250 Durham Rd Ste F Madison CT 06443-8015
Phone: (203) 421-6372
Fax: (203) 421-2090
Website:
Map and Directions
Authorized official contact:
Name: Gallup, Matthew
Phone: (617) 905-1269

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X

Profile Details

NPI number 1366115552
LBN Legal business name Wildwood Behavioral Health, Llc
DBA Doing business as
Authorized official Gallup, Matthew
Entity Organization
Organization subpart 1 No
Enumeration date Jul 26th, 2021
Last updated Jul 29th, 2022 - about 3 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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