Growing Potential Services:therapeutic And Behavioral Solutions, PC
Community/Behavioral Health in Enfield, CT. Organization (NPI-2).
NPI number1336588607
StatusActive
Last updated in NPPESJun 11, 2019
Details
- NPI
- 1336588607
- Entity type
- Organization (NPI-2)
- Legal business name
- Growing Potential Services:therapeutic And Behavioral Solutions, PC
- Organization subpart
- No
- Enumeration date
- Jun 20, 2013
- Last updated
- Jun 11, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | 2378 | CT | Yes |
| 251S00000X | Community/Behavioral Health | 8146 | MA |
Practice location
25 High StEnfield, CT 06082
Phone 606-986-0778 · Fax 860-698-6631
Mailing address
25 High StEnfield, CT 06082-3410
Phone 860-698-6077 · Fax 860-698-6631
Authorized official
Marcy Taliceo
Clinical Director
8606986077
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All 6 Community/Behavioral Health Agency providers in Enfield · All 1,220 providers in Enfield
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