| Our Star Family Inc | |
|
128 Franklin St Waterbury CT 06706-1204 | |
| (518) 714-5576 | |
| Not Available |
| Full Name | Our Star Family Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 128 Franklin St, Waterbury, Connecticut |
| Authorized Official Name and Position | Betty Gallimore (CEO) |
| Authorized Official Contact | 5187145576 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Our Star Family Inc 299 E Sidney Ave Mount Vernon NY 10553-1021 Ph: () - | Our Star Family Inc 128 Franklin St Waterbury CT 06706-1204 Ph: (518) 714-5576 |
| NPI Number | 1538805197 |
|---|---|
| Provider Enumeration Date | 05/06/2022 |
| Last Update Date | 05/06/2022 |
| Certification Date | 05/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538805197 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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