| Children's Behavioral Therapy, Llc | |
|
104 Blueridge Drive Ext Waterbury CT 06704-6122 | |
| (917) 621-7360 | |
| Not Available |
| Full Name | Children's Behavioral Therapy, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 104 Blueridge Drive Ext, Waterbury, Connecticut |
| Authorized Official Name and Position | Eliezer Sontag (MEMBER) |
| Authorized Official Contact | 9176217360 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Behavioral Therapy, Llc 104 Blueridge Drive Ext Waterbury CT 06704-6122 Ph: (917) 621-7360 | Children's Behavioral Therapy, Llc 104 Blueridge Drive Ext Waterbury CT 06704-6122 Ph: (917) 621-7360 |
| NPI Number | 1679959415 |
|---|---|
| Provider Enumeration Date | 08/04/2015 |
| Last Update Date | 08/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679959415 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 002599 (Connecticut) | Primary |
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