Organization
MY FATHER MY SON REHABILITATION AND COUNSELING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHUKWUEMEKA BILL OKWUOSA LADC.CAC.ATSA (THERAPIST/PRACTITIONER)
(203) 747-8689
Entity
Organization
Contact information
Practice address
264 AMITY RD STE 104, WOODBRIDGE, CT 06525-2200
(203) 747-8689
(203) 745-0493
Mailing address
264 AMITY RD STE 104, WOODBRIDGE, CT 06525-2200
(203) 747-8689
(203) 745-0493
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008041411
—
CT
Enumeration date
08/10/2012
Last updated
07/21/2022
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