| C.b.r.t.,llc | |
|
281 Hartford Tpke Ste 312 Vernon CT 06066-4707 | |
| (860) 390-1403 | |
| Not Available |
| Full Name | C.b.r.t.,llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 281 Hartford Tpke Ste 312, Vernon, Connecticut |
| Authorized Official Name and Position | Karen Mackinnon-samuels (CREDENTIALING) |
| Authorized Official Contact | 8604022437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| C.b.r.t.,llc 111 Farmbrook Ln South Windsor CT 06074-2887 Ph: (860) 390-1403 | C.b.r.t.,llc 281 Hartford Tpke Ste 312 Vernon CT 06066-4707 Ph: (860) 390-1403 |
| NPI Number | 1174188973 |
|---|---|
| Provider Enumeration Date | 05/07/2019 |
| Last Update Date | 05/07/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174188973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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