| Perspectives Treatment Center, Inc. | |
|
43 Sherman Hill Rd Building D Suite 202a Woodbury CT 06798-3651 | |
| (203) 681-1212 | |
| Not Available |
| Full Name | Perspectives Treatment Center, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 43 Sherman Hill Rd, Woodbury, Connecticut |
| Authorized Official Name and Position | Stephen Kinsella (PRESIDENT) |
| Authorized Official Contact | 2036811212 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Perspectives Treatment Center, Inc. 100 Main St N #125 Southbury CT 06488-3840 Ph: (203) 681-1212 | Perspectives Treatment Center, Inc. 43 Sherman Hill Rd Building D Suite 202a Woodbury CT 06798-3651 Ph: (203) 681-1212 |
| NPI Number | 1295037117 |
|---|---|
| Provider Enumeration Date | 11/29/2010 |
| Last Update Date | 11/29/2010 |
| Medicare PECOS PAC ID | 2264697994 |
|---|---|
| Medicare Enrollment ID | O20120703000376 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295037117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (Connecticut) | Secondary |
| 1041C0700X | Social Worker - Clinical | (Connecticut) | Primary |
| Provider Name | Stephen R Kinsella |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790816049 PECOS PAC ID: 6002911799 Enrollment ID: I20070425000539 |
| Provider Name | Courtney D Young |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265979926 PECOS PAC ID: 3375693690 Enrollment ID: I20181212002781 |
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