Organization
BACKCOUNTRY WELLNESS LLC
Active
Parent organization
BACKCOUNTRY WELLNESS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BACKCOUNTRY WELLNESS LLC
Authorized official
JOANN STEINER BRONFMAN (EXECUTIVE CLINICAL DIRECTOR)
(203) 992-1700
Entity
Organization
Contact information
Practice address
6 OLD MILL RD, GREENWICH, CT 06830-3345
(203) 992-1700
Mailing address
7 LINCOLN AVE, GREENWICH, CT 06830-5794
(203) 992-1700
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/09/2021
Last updated
09/23/2021
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