| Scalzi Originals Foundation | |
|
34 Loughlin Ave Cos Cob CT 06807-2619 | |
| (203) 555-9857 | |
| Not Available |
| Full Name | Scalzi Originals Foundation |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 34 Loughlin Ave, Cos Cob, Connecticut |
| Authorized Official Name and Position | William Stowell (C.E.O) |
| Authorized Official Contact | 2035549857 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Scalzi Originals Foundation 34 Loughlin Ave Cos Cob CT 06807-2619 Ph: (203) 555-9857 | Scalzi Originals Foundation 34 Loughlin Ave Cos Cob CT 06807-2619 Ph: (203) 555-9857 |
| NPI Number | 1528820727 |
|---|---|
| Provider Enumeration Date | 01/24/2024 |
| Last Update Date | 01/24/2024 |
| Certification Date | 01/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528820727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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