| Hope Behavioral Ct Llc | |
|
2321 Whitney Ave Hamden CT 06518-3510 | |
| (203) 510-1418 | |
| Not Available |
| Full Name | Hope Behavioral Ct Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2321 Whitney Ave, Hamden, Connecticut |
| Authorized Official Name and Position | Farhad Montazeri-lemraski (PHYSICIAN) |
| Authorized Official Contact | 2035101418 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Behavioral Ct Llc 2221 Town Walk Dr Hamden CT 06518-3704 Ph: (203) 510-1418 | Hope Behavioral Ct Llc 2321 Whitney Ave Hamden CT 06518-3510 Ph: (203) 510-1418 |
| NPI Number | 1477378750 |
|---|---|
| Provider Enumeration Date | 11/20/2024 |
| Last Update Date | 11/20/2024 |
| Medicare PECOS PAC ID | 5991233454 |
|---|---|
| Medicare Enrollment ID | O20250110002896 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477378750 | NPI | - | NPPES |
| Provider Name | Farhad Montazeri-lemraski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306136957 PECOS PAC ID: 8820414576 Enrollment ID: I20200806001974 |
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