Provider Demographics
NPI:1225097231
Name:STONINGTON BEHAVIORAL HEALTH INC
Entity Type:Organization
Organization Name:STONINGTON BEHAVIORAL HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO SR VP
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:FILTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-768-3300
Mailing Address - Street 1:75 SWANTOWN HILL RD
Mailing Address - Street 2:
Mailing Address - City:NORTH STONINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06359-1022
Mailing Address - Country:US
Mailing Address - Phone:860-439-6000
Mailing Address - Fax:
Practice Address - Street 1:75 SWANTOWN HILL RD
Practice Address - Street 2:
Practice Address - City:NORTH STONINGTON
Practice Address - State:CT
Practice Address - Zip Code:06359-1022
Practice Address - Country:US
Practice Address - Phone:860-439-6000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-20
Last Update Date:2011-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0071261QM0850X, 283Q00000X, 324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004245420Medicaid
CT004260791Medicaid
CT004245438Medicaid
CT004253605Medicaid
CT004260767Medicaid
CT004260775Medicaid
CT004260783Medicaid