| Fundacion Sos Mujer Extraordinaria Corp | |
|
4 Katherine Way Ellington CT 06029-5842 | |
| (860) 604-0319 | |
| Not Available |
| Full Name | Fundacion Sos Mujer Extraordinaria Corp |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4 Katherine Way, Ellington, Connecticut |
| Authorized Official Name and Position | Biannyi Kasmar (DIRECTOR) |
| Authorized Official Contact | 8606040319 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fundacion Sos Mujer Extraordinaria Corp 4 Katherine Way Ellington CT 06029-5842 Ph: (860) 604-0319 | Fundacion Sos Mujer Extraordinaria Corp 4 Katherine Way Ellington CT 06029-5842 Ph: (860) 604-0319 |
| NPI Number | 1073310546 |
|---|---|
| Provider Enumeration Date | 03/03/2025 |
| Last Update Date | 03/03/2025 |
| Certification Date | 03/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073310546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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