Organization
MINDFUL MENTAL HEALTH CT SOUTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD BRODEN (CEO)
(914) 720-8509
Entity
Organization
Contact information
Practice address
31 KACHELE ST, EASTON, CT 06612-2063
(203) 551-7301
Mailing address
31 KACHELE ST, EASTON, CT 06612-2063
(203) 551-7301
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
04/29/2021
Last updated
06/14/2021
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