Organization
KALI FORTUNA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KALI FORTUNA LADC, MS, NCC (COUNSELOR)
(203) 257-2654
Entity
Organization
Contact information
Practice address
3241 MAIN ST, STRATFORD, CT 06614-4850
(203) 257-2654
(203) 283-9372
Mailing address
3241 MAIN ST, STRATFORD, CT 06614-4850
(203) 257-2654
(203) 283-9372
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1083
CT
Other
Enumeration date
05/07/2014
Last updated
05/07/2014
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