| Southern Connecticut Behavioral Health Llc | |
|
203 Broad St Suite C-4 Milford CT 06460-4751 | |
| (203) 685-3443 | |
| Not Available |
| Full Name | Southern Connecticut Behavioral Health Llc |
|---|---|
| Speciality | Social Worker |
| Location | 203 Broad St, Milford, Connecticut |
| Authorized Official Name and Position | Ralph Arnone (OWNER, MANAGER) |
| Authorized Official Contact | 2036853443 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Connecticut Behavioral Health Llc 203 Broad St Suite C-4 Milford CT 06460-4751 Ph: (203) 685-3443 | Southern Connecticut Behavioral Health Llc 203 Broad St Suite C-4 Milford CT 06460-4751 Ph: (203) 685-3443 |
| NPI Number | 1629441019 |
|---|---|
| Provider Enumeration Date | 11/05/2015 |
| Last Update Date | 11/05/2015 |
| Medicare PECOS PAC ID | 0345545422 |
|---|---|
| Medicare Enrollment ID | O20160227000057 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629441019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | O04559 (Connecticut) | Primary |
| Provider Name | Ralph A Arnone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467535757 PECOS PAC ID: 2961592712 Enrollment ID: I20071217000326 |
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