| Lift Teen And Parent Wellness Centers | |
|
8 Myrtle Ave Westport CT 06880-3511 | |
| (203) 526-3215 | |
| Not Available |
| Full Name | Lift Teen And Parent Wellness Centers |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 8 Myrtle Ave, Westport, Connecticut |
| Authorized Official Name and Position | Mary Dobson (CEO, FOUNDER) |
| Authorized Official Contact | 2035263215 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lift Teen And Parent Wellness Centers 116 Mile Common Rd Easton CT 06612-1506 Ph: (203) 526-3215 | Lift Teen And Parent Wellness Centers 8 Myrtle Ave Westport CT 06880-3511 Ph: (203) 526-3215 |
| NPI Number | 1053160697 |
|---|---|
| Provider Enumeration Date | 05/15/2024 |
| Last Update Date | 05/15/2024 |
| Certification Date | 05/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053160697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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