| Authentic Recovery, Llc | |
|
1 Carriage Pl Suite 4 Waterbury CT 06702-2108 | |
| (860) 805-2267 | |
| Not Available |
| Full Name | Authentic Recovery, Llc |
|---|---|
| Speciality | Counselor |
| Location | 1 Carriage Pl, Waterbury, Connecticut |
| Authorized Official Name and Position | John W Simoncelli (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8608052267 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Authentic Recovery, Llc 37 Saw Mill Rd Litchfield CT 06759-2001 Ph: (860) 805-2267 | Authentic Recovery, Llc 1 Carriage Pl Suite 4 Waterbury CT 06702-2108 Ph: (860) 805-2267 |
| NPI Number | 1285040675 |
|---|---|
| Provider Enumeration Date | 07/07/2014 |
| Last Update Date | 01/12/2015 |
| Medicare PECOS PAC ID | 0840538666 |
|---|---|
| Medicare Enrollment ID | O20190220001811 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285040675 | NPI | - | NPPES |
| 008047242 | Medicaid | CT |
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