| Horse Play Farmington Valley Llc | |
|
395 W Avon Rd Avon CT 06001-2200 | |
| (860) 614-4092 | |
| Not Available |
| Full Name | Horse Play Farmington Valley Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 395 W Avon Rd, Avon, Connecticut |
| Authorized Official Name and Position | Lori Stanczyc (OWNER) |
| Authorized Official Contact | 2038488305 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Horse Play Farmington Valley Llc 512 Country Club Rd Avon CT 06001-2406 Ph: (860) 614-4092 | Horse Play Farmington Valley Llc 395 W Avon Rd Avon CT 06001-2200 Ph: (860) 614-4092 |
| NPI Number | 1891441846 |
|---|---|
| Provider Enumeration Date | 03/01/2022 |
| Last Update Date | 03/01/2022 |
| Certification Date | 02/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891441846 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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