Organization · Type 2 NPI

Cornell Scott Hill Health Corporation

Substance Abuse Rehabilitation Facility · New Haven, CT

NPI number 1104941806 Active

Practice location

232 Cedar St., South Central Rehabilitation Center
New Haven, CT 06519-1610

Call (203) 503-3300 Map

Fax (203) 401-3352

Mailing address

PO Box 7720, Credentialing Specialist
New Haven, CT 06519-0720

Specialties and licenses

Taxonomy	Code	License
Substance Abuse Rehabilitation Facility Primary	324500000X	SA-0122 (CT)

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Other substance abuse rehabilitation facility providers in New Haven

See all in New Haven →

NPI record

NPI: 1104941806
Entity type: Organization (Type 2)
Issued: Mar 20, 2007
Last updated: Apr 30, 2020
Status: Active
Subpart: Yes of Cornell Scott-Hill Health Corporation

Other names

<unavail>
South Central Rehabilitation Center · doing business as
South Central Rehab Center · other name
South Central Rehab Center · other name

Authorized official

Sol Maria Gonzalez
Credentialing Specialist
(203) 503-3174

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1104941806

Cornell Scott Hill Health Corporation's National Provider Identifier is 1104941806, issued on Mar 20, 2007. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in New Haven, CT. The record was last updated on Apr 30, 2020.