| Connecticut Counseling Centers, Inc | |
|
50 Brookside Rd Waterbury CT 06708-1402 | |
| (203) 568-7466 | |
| (203) 568-7468 |
| Full Name | Connecticut Counseling Centers, Inc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 50 Brookside Rd, Waterbury, Connecticut |
| Authorized Official Name and Position | Jason Bradway (DIRECTOR INFORMATION SYSTEMS) |
| Authorized Official Contact | 2035687466 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Connecticut Counseling Centers, Inc 50 Brookside Rd Waterbury CT 06708-1402 Ph: (203) 568-7466 | Connecticut Counseling Centers, Inc 50 Brookside Rd Waterbury CT 06708-1402 Ph: (203) 568-7466 |
| NPI Number | 1306350491 |
|---|---|
| Provider Enumeration Date | 11/28/2017 |
| Last Update Date | 11/28/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306350491 | NPI | - | NPPES |
| 0877 | Other | CT | CONNECTICUT DEPT PUBLIC HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 0877 (Connecticut) | Primary |
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