| Breakthrough Therapeutic Services | |
|
30 Hazel Ter Ste 20 Woodbridge CT 06525-2240 | |
| (203) 543-6406 | |
| Not Available |
| Full Name | Breakthrough Therapeutic Services |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 30 Hazel Ter Ste 20, Woodbridge, Connecticut |
| Authorized Official Name and Position | Kadiesha Webley (OWNER) |
| Authorized Official Contact | 2035436406 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Breakthrough Therapeutic Services 2838 Whitney Ave Apt 14 Hamden CT 06518-2542 Ph: (203) 543-6406 | Breakthrough Therapeutic Services 30 Hazel Ter Ste 20 Woodbridge CT 06525-2240 Ph: (203) 543-6406 |
| NPI Number | 1013553585 |
|---|---|
| Provider Enumeration Date | 11/20/2019 |
| Last Update Date | 11/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013553585 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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