Porters House | |
159 Edgewood Ave Waterbury CT 06706-2211 | |
(203) 519-2222 | |
Not Available |
Full Name | Porters House |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 159 Edgewood Ave, Waterbury, Connecticut |
Authorized Official Name and Position | Sara Wrenn (CLINICAL THERAPIST) |
Authorized Official Contact | 2035192222 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Porters House 159 Edgewood Ave Waterbury CT 06706-2211 Ph: (203) 519-2222 | Porters House 159 Edgewood Ave Waterbury CT 06706-2211 Ph: (203) 519-2222 |
NPI Number | 1669940599 |
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Provider Enumeration Date | 11/08/2018 |
Last Update Date | 11/08/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669940599 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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