Liberation Programs Inc in Bridgeport - Adult Mental Health
Liberation Programs Inc - NPI 1316067481
Liberation Programs Inc is a Adult Mental Health in Bridgeport, Connecticut. Liberation Programs Inc practices all healthcare services and medical treatments related to Adult Mental Health. The NPI Number for Liberation Programs Inc is 1316067481. The last update date is 2008-06-27.
Liberation Programs Inc's current location address is 399 Mill Hill Ave, Bridgeport, Connecticut. You can contact this provider via phone number 8888222270 and fax number 2033364395. The mailing address for Liberation Programs Inc is 399 Mill Hill Ave, Bridgeport, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Liberation Programs Inc |
|---|---|
| Address | 399 Mill Hill Ave, Bridgeport, Connecticut |
| Phone Number | 8888222270 |
| Fax Number | 2033364395 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF EXEC |
|---|---|
| Authorized Official Name | Mathis Alan |
| Telephone Number | 2038512077 |
NPI Number Detail
| NPI Number | 1316067481 |
|---|---|
| Provider Enumeration Date | 2007-03-30 |
| Last Updated Date | 2008-06-27 |
Provider Mailing Address Detail
| Address | 399 Mill Hill Ave |
|---|---|
| City | Bridgeport |
| State | Connecticut (CT) |
| Post Code | 66102865 |
| Phone Number | 8888222270 |
| Fax Number | 2033364395 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Mental Health |
|---|---|
| Taxonomy | 261Qm0850X |
| Licence No | 290 |
|
Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4191962 | CT | -- | |
| 4251500 | CT | -- | |
| 4238764 | CT | -- |
Post Comment/ Review Below
What is the Liberation Programs Inc's unique identification number?
The Liberation Programs Inc has been assigned the NPI (National Provider Identifier) Number 1316067481 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Liberation Programs Inc is physically located?
The Liberation Programs Inc is physically situated at the following address: 399 Mill Hill Ave, Bridgeport, CT, 66102865.
What is the Liberation Programs Inc's specialty and taxonomy code?
The Liberation Programs Inc's specialty is Adult Mental Health, and the corresponding taxonomy code is 261Qm0850X.
When did the Liberation Programs Inc receive its 1316067481?
The Liberation Programs Inc was issued its 1316067481 on 2007-03-30, which is the date when the organization was assigned this unique identifier.
As of what date were the Liberation Programs Inc's details last updated?
The information pertaining to the Liberation Programs Inc, including its address, specialty, and other details, was most recently updated on 2008-06-27.