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Organization
FIVE CORNERS BEHAVIORAL HEALTH, LLC
Active
Organization
FIVE CORNERS BEHAVIORAL HEALTH, LLC
Active
Other names
Five Corners Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARTHA J STEWART APRN (NURSE PRACTIOIONTER)
(860) 205-7416
Entity
Organization
Contact information
Practice address
115 BIRDSEYE RD, FARMINGTON, CT 06032-2481
(860) 205-7416
(860) 678-9306
Mailing address
115 BIRDSEYE RD, FARMINGTON, CT 06032-2481
(860) 205-7416
(860) 678-9308
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/13/2021
Last updated
08/10/2022
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