Healthcare Provider Details

I. General information

NPI: 1265720163
Provider Name (Legal Business Name): NEWINGTON BEHAVIORAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2011
Last Update Date: 07/18/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1268 MAIN ST SUITE 107
NEWINGTON CT
06111-3038
US

IV. Provider business mailing address

93 ROCKLEDGE DR
NEWINGTON CT
06111-5152
US

V. Phone/Fax

Practice location:
  • Phone: 860-667-3965
  • Fax: 866-514-0409
Mailing address:
  • Phone: 203-887-5950
  • Fax: 866-514-0409

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. GABRIEL O ARIMORO
Title or Position: PSYCHIATRIST
Credential: M.D
Phone: 203-887-5950