| Liberation Programs Inc | |
|
399 Mill Hill Ave Bridgeport CT 06610-2865 | |
| (888) 822-2270 | |
| (203) 336-4395 |
| Full Name | Liberation Programs Inc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 399 Mill Hill Ave, Bridgeport, Connecticut |
| Authorized Official Name and Position | Alan Mathis (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2038512077 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Liberation Programs Inc 4 Elmcrest Ter Norwalk CT 06850-3908 Ph: (203) 851-2077 | Liberation Programs Inc 399 Mill Hill Ave Bridgeport CT 06610-2865 Ph: (888) 822-2270 |
| NPI Number | 1316060940 |
|---|---|
| Provider Enumeration Date | 04/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316060940 | NPI | - | NPPES |
| 77ABH0051CT01 | Other | CT | BLUECROSS BLUESHIELD |
| 42B | Other | CT | BLUECROSS BLUESHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 0290 (Connecticut) | Primary |
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