Organization
LIBERATION PROGRAMS INC
Active
Other names
Liberation Meridian Guenster
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN MATHIS (CHIEF EXECUTIVE OFFICER)
(203) 851-2077
Entity
Organization
Contact information
Practice address
399 MILL HILL AVE, BRIDGEPORT, CT 06610-2865
(888) 822-2270
(203) 336-4395
Mailing address
4 ELMCREST TER, NORWALK, CT 06850-3908
(203) 851-2077
(203) 851-2082
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0290
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42B
BLUECROSS BLUESHIELD
CT
01
—
77ABH0051CT01
BLUECROSS BLUESHIELD
CT
Enumeration date
04/09/2007
Last updated
08/22/2020
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