| Access Greenadine Llc | |
|
112 Edgewood St Hartford CT 06112-2204 | |
| (860) 995-2936 | |
| Not Available |
| Full Name | Access Greenadine Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 112 Edgewood St, Hartford, Connecticut |
| Authorized Official Name and Position | Nadine Nicola Green (CEO/OWNER) |
| Authorized Official Contact | 8609952936 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Access Greenadine Llc 112 Edgewood St Hartford CT 06112-2204 Ph: (860) 995-2936 | Access Greenadine Llc 112 Edgewood St Hartford CT 06112-2204 Ph: (860) 995-2936 |
| NPI Number | 1215704143 |
|---|---|
| Provider Enumeration Date | 12/11/2023 |
| Last Update Date | 12/11/2023 |
| Certification Date | 12/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215704143 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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