| Andrea Granath Llc | |
|
35 Boston Street Lower Level, Left Side Guilford CT 06437 | |
| (631) 848-6399 | |
| Not Available |
| Full Name | Andrea Granath Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 35 Boston Street, Guilford, Connecticut |
| Authorized Official Name and Position | Andrea Granath (SOCIAL WORKER) |
| Authorized Official Contact | 6318486399 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea Granath Llc 35 Boston Street Lower Level, Left Side Guilford CT 06437 Ph: () - | Andrea Granath Llc 35 Boston Street Lower Level, Left Side Guilford CT 06437 Ph: (631) 848-6399 |
| NPI Number | 1447766993 |
|---|---|
| Provider Enumeration Date | 12/20/2017 |
| Last Update Date | 12/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447766993 | NPI | - | NPPES |
| 1386971851 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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