| Operation Lifestyle Redesign Group Llc | |
|
83 Wooster Heights Suite #125 Danbury CT 06810 | |
| (203) 957-3938 | |
| (866) 266-4842 |
| Full Name | Operation Lifestyle Redesign Group Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 83 Wooster Heights, Danbury, Connecticut |
| Authorized Official Name and Position | Brandon Davar Pervis (VICE PRESIDENT OF CLINICAL OPERATIO) |
| Authorized Official Contact | 2039573938 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Operation Lifestyle Redesign Group Llc 33 Dixwell Ave Ste 278 New Haven CT 06511-3403 Ph: (203) 957-3938 | Operation Lifestyle Redesign Group Llc 83 Wooster Heights Suite #125 Danbury CT 06810 Ph: (203) 957-3938 |
| NPI Number | 1972273282 |
|---|---|
| Provider Enumeration Date | 09/17/2021 |
| Last Update Date | 09/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972273282 | NPI | - | NPPES |
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