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 |
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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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