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Organization
LIBERATION PROGRAMS INC
Active
Organization
LIBERATION PROGRAMS INC
Active
Other names
Liberation Meridian Guenster
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN MATHIS (CHIEF EXECUTIVE OFFICER)
(203) 851-2077
Entity
Organization
Contact information
Practice address
120 BROOKSIDE ROAD, DARIEN, CT 06820
(203) 655-8973
(203) 655-2389
Mailing address
4 ELMCREST TER, NORWALK, CT 06850-3908
(203) 851-2077
(203) 851-2082
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
0271
CT
Other
Enumeration date
04/03/2007
Last updated
06/27/2008
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