Organization
FIVE CORNERS BEHAVIORAL HEALTH, LLC
Active
Other names
Five Corners Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARTHA J STEWART APRN (NURSE PRACTIOIONTER)
(860) 205-7416
Entity
Organization
Contact information
Practice address
115 BIRDSEYE RD, FARMINGTON, CT 06032-2481
(860) 205-7416
(860) 678-9306
Mailing address
115 BIRDSEYE RD, FARMINGTON, CT 06032-2481
(860) 205-7416
(860) 678-9308
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/13/2021
Last updated
08/10/2022
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