| The Green Therapeutic Center | |
|
41 Mechanic St Windsor CT 06095-2545 | |
| (860) 780-2456 | |
| Not Available |
| Full Name | The Green Therapeutic Center |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 41 Mechanic St, Windsor, Connecticut |
| Authorized Official Name and Position | Leon G Green (MANAGING MEMBER) |
| Authorized Official Contact | 8609381208 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Green Therapeutic Center 2550 Albany Ave # 1174 West Hartford CT 06117-2335 Ph: (860) 938-1208 | The Green Therapeutic Center 41 Mechanic St Windsor CT 06095-2545 Ph: (860) 780-2456 |
| NPI Number | 1821850298 |
|---|---|
| Provider Enumeration Date | 01/30/2024 |
| Last Update Date | 01/30/2024 |
| Certification Date | 01/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821850298 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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