Breakthrough Clinical Services
Social Worker, Clinical in Windsor, CT. Organization (NPI-2).
NPI number1871982967
StatusActive
Last updated in NPPESMar 3, 2017
Details
- NPI
- 1871982967
- Entity type
- Organization (NPI-2)
- Legal business name
- Breakthrough Clinical Services
- Organization subpart
- No
- Enumeration date
- Jan 13, 2015
- Last updated
- Mar 3, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 008665 | CT | Yes |
Practice location
360 Bloomfield AveSte 301
Windsor, CT 06095-2700
Phone 860-597-7504
Mailing address
72 Briarwood DrWindsor, CT 06095-3937
Phone 860-597-7504
Authorized official
Velanda Samuel
Owner
8605977504
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