| Vantage Group, Inc | |
|
29 North Plains Hwy Unit 15 Wallingford CT 06492-5838 | |
| (203) 234-7737 | |
| Not Available |
| Full Name | Vantage Group, Inc |
|---|---|
| Speciality | Day Training, Developmentally Disabled Services |
| Location | 29 North Plains Hwy, Wallingford, Connecticut |
| Authorized Official Name and Position | Richard Pittman (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2032347737 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vantage Group, Inc 29 North Plains Highway Unit 15 Wallingford CT 06492-5838 Ph: (203) 234-7737 | Vantage Group, Inc 29 North Plains Hwy Unit 15 Wallingford CT 06492-5838 Ph: (203) 234-7737 |
| NPI Number | 1053776294 |
|---|---|
| Provider Enumeration Date | 12/15/2015 |
| Last Update Date | 04/04/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053776294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251C00000X | Day Training, Developmentally Disabled Services | (* (Not Available)) | Primary |
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