Self Injury Awareness Network, Inc. | |
18-20 Trinity St C/o Ct Asian Pacific American Commission Hartford CT 06106-1600 | |
(860) 598-0018 | |
Not Available |
Full Name | Self Injury Awareness Network, Inc. |
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Speciality | Community/behavioral Health |
Location | 18-20 Trinity St, Hartford, Connecticut |
Authorized Official Name and Position | Michelle Louise Bicking (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 8605980018 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Self Injury Awareness Network, Inc. 18-20 Trinity Street C/o Ct Asian Pacific American Commission Hartford CT 06106 Ph: (860) 598-0018 | Self Injury Awareness Network, Inc. 18-20 Trinity St C/o Ct Asian Pacific American Commission Hartford CT 06106-1600 Ph: (860) 598-0018 |
NPI Number | 1396159786 |
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Provider Enumeration Date | 06/13/2014 |
Last Update Date | 06/13/2014 |
Identifier | Type | State | Issuer |
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1396159786 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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