Provider Demographics
NPI:1821754540
Name:NEW GREENWOOD BEHAVIORAL HEALTH, INC.
Entity Type:Organization
Organization Name:NEW GREENWOOD BEHAVIORAL HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASS. DIRECTOR OF OPERATIONS
Authorized Official - Prefix:DR
Authorized Official - First Name:RAMANPREET
Authorized Official - Middle Name:
Authorized Official - Last Name:RANDHAWA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-516-0074
Mailing Address - Street 1:167 CHERRY ST STE 233
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06460-3466
Mailing Address - Country:US
Mailing Address - Phone:203-516-0074
Mailing Address - Fax:
Practice Address - Street 1:4 RESEARCH DR
Practice Address - Street 2:
Practice Address - City:SHELTON
Practice Address - State:CT
Practice Address - Zip Code:06484-6280
Practice Address - Country:US
Practice Address - Phone:203-516-0074
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEW GREENWOOD INITIATIVES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-11-17
Last Update Date:2021-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty