| Ccsn Behavioral Health, Llc | |
|
2300 Main St Glastonbury CT 06033-2218 | |
| (860) 430-1762 | |
| (860) 430-1767 |
| Full Name | Ccsn Behavioral Health, Llc |
|---|---|
| Speciality | Psychologist - Intellectual & Developmental Disabilities |
| Location | 2300 Main St, Glastonbury, Connecticut |
| Authorized Official Name and Position | Michael D Powers (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8604301762 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ccsn Behavioral Health, Llc 2300 Main St Glastonbury CT 06033-2218 Ph: (860) 430-1762 | Ccsn Behavioral Health, Llc 2300 Main St Glastonbury CT 06033-2218 Ph: (860) 430-1762 |
| NPI Number | 1144767286 |
|---|---|
| Provider Enumeration Date | 01/27/2017 |
| Last Update Date | 01/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144767286 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 001779 (Connecticut) | Secondary |
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | 001779 (Connecticut) | Primary |
News Archive
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