| Pathway To Peace, Llc | |
|
201 Regan Rd Apt 33a Vernon CT 06066-2861 | |
| (860) 916-1816 | |
| Not Available |
| Full Name | Pathway To Peace, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 201 Regan Rd Apt 33a, Vernon, Connecticut |
| Authorized Official Name and Position | Dennis Tomczak (OWNER) |
| Authorized Official Contact | 8609161816 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathway To Peace, Llc 201 Regan Rd Apt 33a Vernon CT 06066-2861 Ph: (860) 916-1816 | Pathway To Peace, Llc 201 Regan Rd Apt 33a Vernon CT 06066-2861 Ph: (860) 916-1816 |
| NPI Number | 1659811040 |
|---|---|
| Provider Enumeration Date | 03/03/2017 |
| Last Update Date | 03/24/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659811040 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 001209 (Connecticut) | Primary |
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