| Ct Mediation And Therapy, Llc | |
|
357 E Center St Manchester CT 06040-4472 | |
| (860) 890-8689 | |
| Not Available |
| Full Name | Ct Mediation And Therapy, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 357 E Center St, Manchester, Connecticut |
| Authorized Official Name and Position | Matthew Paul Bohonowicz (THERAPIST-MEDIATOR) |
| Authorized Official Contact | 8608908689 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ct Mediation And Therapy, Llc 357 E Center St Manchester CT 06040-4472 Ph: (860) 890-8689 | Ct Mediation And Therapy, Llc 357 E Center St Manchester CT 06040-4472 Ph: (860) 890-8689 |
| NPI Number | 1720492614 |
|---|---|
| Provider Enumeration Date | 06/18/2014 |
| Last Update Date | 06/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720492614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 002174 (Connecticut) | Primary |
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