NPI 1154515435

Gilead Community Services, INC.

Organisation Psychiatric Residential Treatment Facility Middletown, CT

Practice location

Address: 436 Washington St, Middletown, CT 06457-2527
Phone: (860) 343-5317
Fax: (860) 343-6150
Mailing address: PO Box 1000 222 Main Street Extension, Middletown, CT 06457-1000

Authorised official

Name: Christine D Leiby
Title: Director of Finance
Phone: (860) 343-5300

Registered specialties

Psychiatric Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 323P00000X Licence RLC-0004 (CT)

Other Psychiatric Residential Treatment Facility providers in Connecticut →

Registry record

NPI: 1154515435
Entity type: Organization
NPI issued: 30 Aug 2007
Record last updated: 30 Aug 2007

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.