| Trailheads Therapeutic Services Llc | |
|
222 Mckee St Manchester CT 06040-4800 | |
| (203) 980-6089 | |
| Not Available |
| Full Name | Trailheads Therapeutic Services Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 222 Mckee St, Manchester, Connecticut |
| Authorized Official Name and Position | Bryant M Keith (THERAPIST/PARTNER) |
| Authorized Official Contact | 2039806089 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trailheads Therapeutic Services Llc 222 Mckee St Manchester CT 06040-4800 Ph: (203) 980-6089 | Trailheads Therapeutic Services Llc 222 Mckee St Manchester CT 06040-4800 Ph: (203) 980-6089 |
| NPI Number | 1164164430 |
|---|---|
| Provider Enumeration Date | 04/08/2022 |
| Last Update Date | 04/08/2022 |
| Certification Date | 04/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164164430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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