| Latitude Behavioral Health | |
|
49 Woods Dr Norwich CT 06360-1560 | |
| (860) 333-2160 | |
| Not Available |
| Full Name | Latitude Behavioral Health |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 49 Woods Dr, Norwich, Connecticut |
| Authorized Official Name and Position | Stephanie M. Holden (OWNER) |
| Authorized Official Contact | 8606290339 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Latitude Behavioral Health 49 Woods Dr Norwich CT 06360-1560 Ph: () - | Latitude Behavioral Health 49 Woods Dr Norwich CT 06360-1560 Ph: (860) 333-2160 |
| NPI Number | 1376098004 |
|---|---|
| Provider Enumeration Date | 08/23/2016 |
| Last Update Date | 08/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376098004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 009147 (Connecticut) | Primary |
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