Organization
THE CENTER FOR RECOVERY AND SPIRITUAL HEALING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAULA C HENNESSEY LADC (GENERAL PARTNER)
(203) 379-6403
Entity
Organization
Contact information
Practice address
192 S MAIN ST, REAR ENTRANCE, MIDDLETOWN, CT 06457-3727
(203) 262-0403
(860) 788-6777
Mailing address
192 S MAIN ST, REAR ENTRANCE, MIDDLETOWN, CT 06457-3727
(203) 262-0403
(860) 788-6777
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
000511
CT
Other
Enumeration date
12/06/2010
Last updated
12/06/2010
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