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:
Health care specialties
| Specialty | Code | License # | 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 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316067481 | NPPES |
| Connecticut | MEDICAID | 004191962 | |
| Connecticut | MEDICAID | 004251500 | |
| Connecticut | MEDICAID | 004238764 |
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