| Eastern Services & Camp Simon Llc | |
|
82 Main St Windsor Locks CT 06096-2325 | |
| (860) 254-5127 | |
| (860) 310-4235 |
| Full Name | Eastern Services & Camp Simon Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 82 Main St, Windsor Locks, Connecticut |
| Authorized Official Name and Position | Maly Phimvongsa (CLINICAL DIRECTOR/OWNER) |
| Authorized Official Contact | 8602545127 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern Services & Camp Simon Llc 115 Bridge St Suite C East Windsor CT 06088-9547 Ph: (860) 254-5127 | Eastern Services & Camp Simon Llc 82 Main St Windsor Locks CT 06096-2325 Ph: (860) 254-5127 |
| NPI Number | 1538582739 |
|---|---|
| Provider Enumeration Date | 01/24/2014 |
| Last Update Date | 02/11/2020 |
| Certification Date | 02/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538582739 | NPI | - | NPPES |
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