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Scott L Gourson Llc
Adult Mental Health Clinic/Center in Collinsville, Connecticut
NPI 1801147400

Scott L Gourson Llc is an Adult Mental Health Clinic/Center based in Collinsville, CT and is specialized in Adult Mental Health. Scott L Gourson Llc practices in Collinsville, CT. The NPI Number for Scott L Gourson Llc is 1801147400 and holds a License No. 001858 (Connecticut).

The current practice location address for Scott L Gourson Llc is 111 Main St, Collinsville, CT and can be reached out via phone at 860-693-4201 and via fax at 860-693-4991.

Location: 111 Main St, Collinsville, CT, 06019-3182
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1801147400
Provider Name
Scott L Gourson Llc
Credential
Provider Entity Type
Organization
Address
111 Main St, Collinsville, CT, 06019-3182
Phone Number
860-693-4201
Fax Number
860-693-4991
Provider Enumeration Date
09/24/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
111 Main St
City
Collinsville
State
Connecticut
Zip
06019-3182
Phone Number
860-693-4201
Fax Number
860-693-4991
person
Provider Business Mailing Address Details
Address
111 Main St
City
Collinsville
State
Connecticut
Zip
06019-3182
Phone Number
860-693-4201
Fax Number
860-693-4991
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
001858 (Connecticut)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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