| Generation Of Leaders Llc | |
|
157 Church St Fl 19 New Haven CT 06510-2100 | |
| (203) 787-8232 | |
| Not Available |
| Full Name | Generation Of Leaders Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 157 Church St Fl 19, New Haven, Connecticut |
| Authorized Official Name and Position | Tanya Randall (ADMINISTRATOR) |
| Authorized Official Contact | 4752018549 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Generation Of Leaders Llc 213 Gorham Ave Hamden CT 06514-3903 Ph: (203) 787-8232 | Generation Of Leaders Llc 157 Church St Fl 19 New Haven CT 06510-2100 Ph: (203) 787-8232 |
| NPI Number | 1467157115 |
|---|---|
| Provider Enumeration Date | 04/03/2023 |
| Last Update Date | 04/03/2023 |
| Certification Date | 04/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467157115 | NPI | - | NPPES |
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