| Burgeon Behavioral Health | |
|
869 Main St Apt 3 Manchester CT 06040-6052 | |
| (860) 906-2951 | |
| Not Available |
| Full Name | Burgeon Behavioral Health |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 869 Main St Apt 3, Manchester, Connecticut |
| Authorized Official Name and Position | Bernard Ashirifie (SUBSTANCE ABUSE COUNSELOR) |
| Authorized Official Contact | 8609062951 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Burgeon Behavioral Health 869 Main St Apt 3 Manchester CT 06040-6052 Ph: (860) 906-2951 | Burgeon Behavioral Health 869 Main St Apt 3 Manchester CT 06040-6052 Ph: (860) 906-2951 |
| NPI Number | 1700619665 |
|---|---|
| Provider Enumeration Date | 08/24/2024 |
| Last Update Date | 08/24/2024 |
| Certification Date | 08/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700619665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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