Evidence Based Services Llc Connecticut Division | |
222 Beaver Hill Rd North Windham CT 06256-1236 | |
(860) 234-2764 | |
Not Available |
Full Name | Evidence Based Services Llc Connecticut Division |
---|---|
Speciality | Community/behavioral Health |
Location | 222 Beaver Hill Rd, North Windham, Connecticut |
Authorized Official Name and Position | Erika Wenzel (OWNER) |
Authorized Official Contact | 8602342764 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Evidence Based Services Llc Connecticut Division 222 Beaver Hill Rd North Windham CT 06256-1236 Ph: (860) 234-2764 | Evidence Based Services Llc Connecticut Division 222 Beaver Hill Rd North Windham CT 06256-1236 Ph: (860) 234-2764 |
NPI Number | 1578134987 |
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Provider Enumeration Date | 07/07/2021 |
Last Update Date | 07/10/2021 |
Certification Date | 07/10/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578134987 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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