| Kali Fortuna Llc | |
|
3241 Main St Stratford CT 06614-4850 | |
| (203) 257-2654 | |
| (203) 283-9372 |
| Full Name | Kali Fortuna Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3241 Main St, Stratford, Connecticut |
| Authorized Official Name and Position | Kali Fortuna (COUNSELOR) |
| Authorized Official Contact | 2032572654 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kali Fortuna Llc 3241 Main St Stratford CT 06614-4850 Ph: (203) 257-2654 | Kali Fortuna Llc 3241 Main St Stratford CT 06614-4850 Ph: (203) 257-2654 |
| NPI Number | 1437569738 |
|---|---|
| Provider Enumeration Date | 05/07/2014 |
| Last Update Date | 05/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437569738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1083 (Connecticut) | Primary |
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