| A Space For This | |
|
56 Horseshoe Ln Middletown CT 06457-7921 | |
| (860) 398-2559 | |
| Not Available |
| Full Name | A Space For This |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 56 Horseshoe Ln, Middletown, Connecticut |
| Authorized Official Name and Position | Annika Richards (CLINICIAN) |
| Authorized Official Contact | 8603982559 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Space For This 56 Horseshoe Ln Middletown CT 06457-7921 Ph: (860) 398-2559 | A Space For This 56 Horseshoe Ln Middletown CT 06457-7921 Ph: (860) 398-2559 |
| NPI Number | 1588496392 |
|---|---|
| Provider Enumeration Date | 08/19/2024 |
| Last Update Date | 08/19/2024 |
| Certification Date | 08/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588496392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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