New Beginnings Family Center, Llc | |
880 Asylum Ave Hartford CT 06105-1902 | |
(860) 719-5598 | |
Not Available |
Full Name | New Beginnings Family Center, Llc |
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Speciality | Social Worker - Clinical |
Location | 880 Asylum Ave, Hartford, Connecticut |
Authorized Official Name and Position | Beverly Coker (OWNER) |
Authorized Official Contact | 8607195598 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
New Beginnings Family Center, Llc 880 Asylum Ave Hartford CT 06105-1902 Ph: (860) 719-5598 | New Beginnings Family Center, Llc 880 Asylum Ave Hartford CT 06105-1902 Ph: (860) 719-5598 |
NPI Number | 1164720330 |
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Provider Enumeration Date | 03/11/2011 |
Last Update Date | 03/11/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164720330 | NPI | - | NPPES |
004258259 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 1301 (Connecticut) | Primary |
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