| Great Ambitions, Llc | |
|
95 Glen Hill Rd Wilton CT 06897-2424 | |
| (917) 804-3106 | |
| Not Available |
| Full Name | Great Ambitions, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 95 Glen Hill Rd, Wilton, Connecticut |
| Authorized Official Name and Position | Tom Zef Dusi (EMPLOYEE) |
| Authorized Official Contact | 9178043106 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Ambitions, Llc 95 Glen Hill Rd Wilton CT 06897-2424 Ph: (917) 804-3106 | Great Ambitions, Llc 95 Glen Hill Rd Wilton CT 06897-2424 Ph: (917) 804-3106 |
| NPI Number | 1811653447 |
|---|---|
| Provider Enumeration Date | 11/09/2021 |
| Last Update Date | 11/09/2021 |
| Certification Date | 11/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811653447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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