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 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 (203) 356-1980, or through Mathis, Alan via phone (203) 851-2077.

Contact Information

Primary practice address
115 Main St Stamford CT 06901-2818
Fax: (203) 967-9476
Website:
Authorized official contact:
Name: Mathis, Alan

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X SA0175 Connecticut
Ambulatory Health Care Facilities / Methadone 261QM2800X SA0175 Connecticut

Profile Details

NPI number 1649390733
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649390733 NPPES
Connecticut MEDICAID 004251493
Connecticut MEDICAID 004052023
Connecticut MEDICAID 004188282

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