| A Prospering Vision, Llc | |
|
60 N Main St 3rd Flr Waterbury CT 06702-1443 | |
| (203) 558-9865 | |
| Not Available |
| Full Name | A Prospering Vision, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 60 N Main St, Waterbury, Connecticut |
| Authorized Official Name and Position | Elijah Caldwell (EXECUTIVE PROGRAM DIRECTOR) |
| Authorized Official Contact | 2035589865 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Prospering Vision, Llc 60 N Main St 3rd Flr Waterbury CT 06702-1443 Ph: (203) 558-9865 | A Prospering Vision, Llc 60 N Main St 3rd Flr Waterbury CT 06702-1443 Ph: (203) 558-9865 |
| NPI Number | 1932473527 |
|---|---|
| Provider Enumeration Date | 02/29/2012 |
| Last Update Date | 11/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932473527 | NPI | - | NPPES |
| 008042640 | Medicaid | CT |
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