institution
Liberation Programs Inc
Methadone Clinic in Stamford, Connecticut
NPI 1649390733

Liberation Programs Inc is a Methadone Clinic based in Norwalk, CT and is specialized in Methadone. Liberation Programs Inc practices in Stamford, CT. The NPI Number for Liberation Programs Inc is 1649390733 and holds a License No. SA0175 (Connecticut).

The current practice location address for Liberation Programs Inc is 115 Main St, Stamford, CT and can be reached out via phone at 203-356-1980 and via fax at 203-967-9476. You can also correspond with Liberation Programs Inc through the mailing address at 4 ELMCREST TER, NORWALK, CT - 06850-3908 (mailing address contact number: 203-851-2077).

Location: 115 Main St, Stamford, CT, 06850-3908
institution
Provider Profile Details
NPI Number
1649390733
Provider Name
Liberation Programs Inc
Credential
Provider Entity Type
Organization
Address
115 Main St, Stamford, CT, 06850-3908
Phone Number
203-356-1980
Fax Number
203-967-9476
Provider Enumeration Date
03/30/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
004251493 05 CT
004052023 05 CT
004188282 05 CT
institution
Provider Business Practice Location Address Details
Address
115 Main St
City
State
Zip
06901-2818
Phone Number
203-356-1980
Fax Number
203-967-9476
person
Provider Business Mailing Address Details
Address
4 Elmcrest Ter
City
State
Zip
06850-3908
Phone Number
203-851-2077
Fax Number
203-851-2082
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
License No.
SA0175 (Connecticut)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
License No.
SA0175 (Connecticut)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
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