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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.

Location: 115 Main St, Stamford, CT, 06850-3908
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Stamford
State
Connecticut
Zip
06901-2818
Phone Number
203-356-1980
Fax Number
203-967-9476
person
Provider Business Mailing Address Details
Address
115 Main St
City
Stamford
State
Connecticut
Zip
06901-2818
Phone Number
203-356-1980
Fax Number
203-967-9476
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
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
261QM2800X
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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