Courage To Be Llc | |
34 Jerome Ave Ste 116 Bloomfield CT 06002-2463 | |
(860) 245-1027 | |
Not Available |
Full Name | Courage To Be Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 34 Jerome Ave Ste 116, Bloomfield, Connecticut |
Authorized Official Name and Position | Yanique J Grant (CLINICAL SOCIAL WORKER) |
Authorized Official Contact | 8602451027 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Courage To Be Llc 78 Montowese St Hartford CT 06114-3041 Ph: (860) 245-1027 | Courage To Be Llc 34 Jerome Ave Ste 116 Bloomfield CT 06002-2463 Ph: (860) 245-1027 |
NPI Number | 1629635412 |
---|---|
Provider Enumeration Date | 05/28/2019 |
Last Update Date | 05/28/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629635412 | NPI | - | NPPES |
1649638735 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
News Archive
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