| Csi Retreat, Llc | |
|
1565 Middletown Ave Northford CT 06472-1066 | |
| (203) 108-1927 | |
| Not Available |
| Full Name | Csi Retreat, Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1565 Middletown Ave, Northford, Connecticut |
| Authorized Official Name and Position | Elie Abdallah Zammarieh (OWNER) |
| Authorized Official Contact | 2039156067 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Csi Retreat, Llc 1565 Middletown Ave Northford CT 06472 Ph: (203) 108-1927 | Csi Retreat, Llc 1565 Middletown Ave Northford CT 06472-1066 Ph: (203) 108-1927 |
| NPI Number | 1477823524 |
|---|---|
| Provider Enumeration Date | 01/06/2012 |
| Last Update Date | 01/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477823524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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