Midwestern Connecticut Counsel On Alcoholism | |
38 Old Ridgebury Rd Danbury CT 06810-5128 | |
(203) 792-4515 | |
Not Available |
Full Name | Midwestern Connecticut Counsel On Alcoholism |
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Speciality | Community/behavioral Health |
Location | 38 Old Ridgebury Rd, Danbury, Connecticut |
Authorized Official Name and Position | Mary Jo Mcbride-beece (DIRECTOR OF OUT PATIENT SERVICES) |
Authorized Official Contact | 2037924515 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Midwestern Connecticut Counsel On Alcoholism 38 Old Ridgebury Rd Danbury CT 06810-5128 Ph: (203) 792-4515 | Midwestern Connecticut Counsel On Alcoholism 38 Old Ridgebury Rd Danbury CT 06810-5128 Ph: (203) 792-4515 |
NPI Number | 1912193418 |
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Provider Enumeration Date | 09/18/2007 |
Last Update Date | 09/18/2007 |
Identifier | Type | State | Issuer |
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1912193418 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | CAC 4070 (Connecticut) | Primary |
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