Naked Truth Life Enrichment Project Llc | |
410 State St Rm 15 North Haven CT 06473-3149 | |
(203) 903-8286 | |
Not Available |
Full Name | Naked Truth Life Enrichment Project Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 410 State St Rm 15, North Haven, Connecticut |
Authorized Official Name and Position | Amelia D. Shannon (LICENSED PROFESSIONAL COUNSELOR) |
Authorized Official Contact | 2039100548 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Naked Truth Life Enrichment Project Llc 239 Columbus Ave New Haven CT 06519-2230 Ph: (203) 910-0548 | Naked Truth Life Enrichment Project Llc 410 State St Rm 15 North Haven CT 06473-3149 Ph: (203) 903-8286 |
NPI Number | 1265990436 |
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Provider Enumeration Date | 03/06/2019 |
Last Update Date | 03/06/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265990436 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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