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37 Camp Mooween Road Lebanon CT 06249 | |
| (860) 889-1717 | |
| (860) 886-2361 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 37 Camp Mooween Road, Lebanon, Connecticut |
| Authorized Official Name and Position | John F Malone (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8608862495 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
37 Camp Mooween Road Lebanon CT 06249 Ph: (860) 886-2495 | 37 Camp Mooween Road Lebanon CT 06249 Ph: (860) 889-1717 |
| NPI Number | 1003960022 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 06/11/2008 |
| Medicare PECOS PAC ID | 0941349591 |
|---|---|
| Medicare Enrollment ID | O20230321001740 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003960022 | NPI | - | NPPES |
| 004173671 | Medicaid | CT | |
| 004042073 | Medicaid | CT | |
| 004144606 | Medicaid | CT | |
| 175904 | Other | CT | MAGELLAN |
| 149925 | Other | CT | HEALTH NET |
Coreworks, Counseling For Couples And Individuals Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 424 Deepwood Dr, Lebanon, CT 06249 Phone: 860-468-5353 |