Whalio Doctors

NPI 1154475184

The Wellspring Foundation, INC.

Organisation Psychiatric Residential Treatment Facility Bethlehem, CT

Practice location

Address
21 Arch Bridge Rd., Bethlehem, CT 06751-0370
Phone
(203) 266-8000
Fax
(203) 266-8030
Mailing address
21 Arch Bridge Rd. P.O. Box 370, Bethlehem, CT 06751-0370

Authorised official

Name
Harvey Newman
Title
Chief Executive Officer
Phone
(203) 266-8110

Registered specialties (4)

Psychiatric Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 323P00000X Licence CCF RT 26 (CT)
Mental Health Clinic/Center (Including Community Mental Health Center)
Ambulatory Health Care Facilities Taxonomy 261QM0801X
Adult Mental Health Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QM0850X
Adolescent and Children Mental Health Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QM0855X

Registry record

NPI
1154475184
Entity type
Organization
NPI issued
23 Jan 2007
Record last updated
13 Nov 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.