| Beacon | |
|
160 West St Suite G Cromwell CT 06416-2441 | |
| (860) 613-9930 | |
| Not Available |
| Full Name | Beacon |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 160 West St, Cromwell, Connecticut |
| Authorized Official Name and Position | Anne Clark (OFFICE MANAGER) |
| Authorized Official Contact | 5084738338 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beacon 160 West St Suite G Cromwell CT 06416-2441 Ph: (860) 613-9930 | Beacon 160 West St Suite G Cromwell CT 06416-2441 Ph: (860) 613-9930 |
| NPI Number | 1447506969 |
|---|---|
| Provider Enumeration Date | 08/02/2012 |
| Last Update Date | 08/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447506969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1052232 (Connecticut) | Primary |
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