| Changing Pathways Llc | |
|
41 Chestnut Grove Rd Watertown CT 06795-1901 | |
| (860) 682-0902 | |
| Not Available |
| Full Name | Changing Pathways Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 41 Chestnut Grove Rd, Watertown, Connecticut |
| Authorized Official Name and Position | Kendra Cole (CLINICIAN) |
| Authorized Official Contact | 8606820902 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Changing Pathways Llc 41 Chestnut Grove Rd Watertown CT 06795-1901 Ph: (860) 682-0902 | Changing Pathways Llc 41 Chestnut Grove Rd Watertown CT 06795-1901 Ph: (860) 682-0902 |
| NPI Number | 1386415164 |
|---|---|
| Provider Enumeration Date | 01/11/2024 |
| Last Update Date | 01/11/2024 |
| Certification Date | 01/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386415164 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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