| Dominion | |
|
51 Georges Ct Waterbury CT 06708-1865 | |
| (203) 650-2970 | |
| Not Available |
| Full Name | Dominion |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 51 Georges Ct, Waterbury, Connecticut |
| Authorized Official Name and Position | Sarah J Ward-watson (OWNER) |
| Authorized Official Contact | 2036502970 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dominion 51 Georges Ct Waterbury CT 06708-1865 Ph: (203) 650-2970 | Dominion 51 Georges Ct Waterbury CT 06708-1865 Ph: (203) 650-2970 |
| NPI Number | 1205564937 |
|---|---|
| Provider Enumeration Date | 08/10/2022 |
| Last Update Date | 08/10/2022 |
| Certification Date | 08/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205564937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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