Organization
C.B.R.T.,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN MACKINNON-SAMUELS (CREDENTIALING)
(860) 402-2437
Entity
Organization
Contact information
Practice address
281 HARTFORD TPKE STE 312, VERNON, CT 06066-4707
(860) 390-1403
Mailing address
111 FARMBROOK LN, SOUTH WINDSOR, CT 06074-2887
(860) 390-1403
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/07/2019
Last updated
05/07/2019
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