Organization
TRAILHEADS THERAPEUTIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYANT M KEITH LMFT (THERAPIST/PARTNER)
(203) 980-6089
Entity
Organization
Contact information
Practice address
222 MCKEE ST, MANCHESTER, CT 06040-4800
(203) 980-6089
Mailing address
222 MCKEE ST, MANCHESTER, CT 06040-4800
(203) 980-6089
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/08/2022
Last updated
04/08/2022
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