| Ke Health Services, Llc | |
|
880 North Ave Ste 10 Bridgeport CT 06606-5709 | |
| (203) 540-5722 | |
| (203) 540-5722 |
| Full Name | Ke Health Services, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 880 North Ave Ste 10, Bridgeport, Connecticut |
| Authorized Official Name and Position | Kathleen A Ennis (MANAGEING MEMBER) |
| Authorized Official Contact | 2038692225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ke Health Services, Llc 30 Orchard St Cos Cob CT 06807-2403 Ph: (203) 869-2225 | Ke Health Services, Llc 880 North Ave Ste 10 Bridgeport CT 06606-5709 Ph: (203) 540-5722 |
| NPI Number | 1538300678 |
|---|---|
| Provider Enumeration Date | 03/19/2009 |
| Last Update Date | 03/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538300678 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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