| Soebrown Inc. | |
|
56 Poquonock Ave Windsor CT 06095-2507 | |
| (860) 752-5669 | |
| Not Available |
| Full Name | Soebrown Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 56 Poquonock Ave, Windsor, Connecticut |
| Authorized Official Name and Position | Sophia A Brown (MANAGER) |
| Authorized Official Contact | 8607525669 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soebrown Inc. 68 Arrowbrook Rd Windsor CT 06095-3929 Ph: (860) 752-5669 | Soebrown Inc. 56 Poquonock Ave Windsor CT 06095-2507 Ph: (860) 752-5669 |
| NPI Number | 1689176968 |
|---|---|
| Provider Enumeration Date | 03/02/2018 |
| Last Update Date | 06/28/2023 |
| Certification Date | 06/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689176968 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 008235 (Connecticut) | Primary |
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