Liberation Meridian Guenster

LBN: Liberation Programs Inc
Liberation Meridian Guenster is an health care organization with primary practice located at 115 Main St , Stamford CT 06901-2818. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adolescent and Children Mental Health, which is considered as the primary health care specialty. Liberation Programs Inc can be contacted via phone (203) 356-1980, or through Mathis, Alan via phone (203) 851-2077.

Contact Information

Primary practice address
115 Main St Stamford CT 06901-2818
Phone: (203) 356-1980
Fax: (203) 967-9476
Website:
Map and Directions
Authorized official contact:
Name: Mathis, Alan
Phone: (203) 851-2077

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X 0324 Connecticut

Profile Details

NPI number 1407978356
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 Apr 4th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407978356 NPPES
Connecticut MEDICAID 004258366

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