| Mosaic | |
|
100 Sebethe Dr Ste A2 Cromwell CT 06416-1037 | |
| (402) 896-5827 | |
| (402) 894-4780 |
| Full Name | Mosaic |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 100 Sebethe Dr Ste A2, Cromwell, Connecticut |
| Authorized Official Name and Position | Jeri Sole (DIRECTOR OF BILLING) |
| Authorized Official Contact | 4028965827 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mosaic 4980 S 118th St Omaha NE 68137-2200 Ph: (402) 896-5827 | Mosaic 100 Sebethe Dr Ste A2 Cromwell CT 06416-1037 Ph: (402) 896-5827 |
| NPI Number | 1740874775 |
|---|---|
| Provider Enumeration Date | 02/20/2021 |
| Last Update Date | 07/09/2021 |
| Certification Date | 07/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740874775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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