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Organization
TRICIRCLE CORPORATION
Active
Organization
TRICIRCLE CORPORATION
Active
Other names
TRICIRCLE Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANA M GOPOIAN BA, CPRC, RSS, CHT. (FOUNDER, EXECUTIVE DIRECTOR)
(203) 349-7074
Entity
Organization
Contact information
Practice address
6 WAY RD, MIDDLEFIELD, CT 06455-1080
(860) 349-7074
(860) 349-7032
Mailing address
6 WAY RD, MIDDLEFIELD, CT 06455-1080
(860) 349-7074
(860) 349-7032
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
01/24/2018
Last updated
06/10/2021
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