# BACKCOUNTRY WELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BACKCOUNTRY WELLNESS LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1174292460
- **Legal business name:** BACKCOUNTRY WELLNESS LLC
- **Authorized official:** JOANN STEINER BRONFMAN (EXECUTIVE CLINICAL DIRECTOR)
- **Authorized official phone:** (203) 992-1700

## Contact information

- **Practice address:** 6 OLD MILL RD, GREENWICH, CT 06830-3345
- **Practice address phone:** (203) 992-1700
- **Mailing address:** 7 LINCOLN AVE, GREENWICH, CT 06830-5794
- **Mailing address phone:** (203) 992-1700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 09/09/2021
- **Last updated:** 09/23/2021