Liberation Meridian Guenster

LBN: Liberation Programs Inc
Liberation Meridian Guenster is an health care organization with primary practice located at 399 Mill Hill Ave , Bridgeport CT 06610-2865. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Methadone. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty. Liberation Programs Inc can be contacted via phone (888) 822-2270, or through Mathis, Alan via phone (203) 851-2077.

Contact Information

Primary practice address
399 Mill Hill Ave Bridgeport CT 06610-2865
Phone: (888) 822-2270
Fax: (203) 336-4395
Website:
Map and Directions
Authorized official contact:
Name: Mathis, Alan
Phone: (203) 851-2077

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X 0290 Connecticut
Ambulatory Health Care Facilities / Methadone 261QM2800X 0290 Connecticut

Profile Details

NPI number 1316067481
LBN Legal business name Liberation Programs Inc
DBA Doing business as Liberation Meridian Guenster
Authorized official Mathis, Alan
Entity Organization
Organization subpart 1 No
Enumeration date Mar 30th, 2007
Last updated Jun 27th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316067481 NPPES
Connecticut MEDICAID 004191962
Connecticut MEDICAID 004251500
Connecticut MEDICAID 004238764

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