| Peretto La Llc | |
|
20 Otis St Apt 20f Manchester CT 06040-5954 | |
| (860) 478-7400 | |
| Not Available |
| Full Name | Peretto La Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 20 Otis St Apt 20f, Manchester, Connecticut |
| Authorized Official Name and Position | Lauren Peretto (OWNER) |
| Authorized Official Contact | 8604787400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peretto La Llc 20 Otis St Apt 20f Manchester CT 06040-5954 Ph: (860) 478-7400 | Peretto La Llc 20 Otis St Apt 20f Manchester CT 06040-5954 Ph: (860) 478-7400 |
| NPI Number | 1538907407 |
|---|---|
| Provider Enumeration Date | 07/16/2024 |
| Last Update Date | 07/16/2024 |
| Certification Date | 07/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538907407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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