| Cbl Ii, Llc | |
|
163 Robin Dr Collinsville CT 06019-3730 | |
| (860) 693-4605 | |
| Not Available |
| Full Name | Cbl Ii, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 163 Robin Dr, Collinsville, Connecticut |
| Authorized Official Name and Position | Cheli Lange (MEMBER) |
| Authorized Official Contact | 8603354545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cbl Ii, Llc 163 Robin Dr Collinsville CT 06019-3730 Ph: (860) 693-4605 | Cbl Ii, Llc 163 Robin Dr Collinsville CT 06019-3730 Ph: (860) 693-4605 |
| NPI Number | 1104424464 |
|---|---|
| Provider Enumeration Date | 10/09/2020 |
| Last Update Date | 10/09/2020 |
| Certification Date | 10/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104424464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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