Organization
LIVING SPRING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEDDEUS IHEANACHO (DIRECTOR)
(516) 513-2082
Entity
Organization
Contact information
Practice address
203 BROAD ST, MILFORD, CT 06460-4751
(516) 513-2082
Mailing address
203 BROAD ST, MILFORD, CT 06460-4751
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
49777
CT
Other
Enumeration date
02/29/2012
Last updated
02/29/2012
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