Organization
LIBERATION PROGRAMS INC
Active
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
119 MAIN ST, STAMFORD, CT 06901-2818
(203) 356-1980
(203) 353-0368
Mailing address
4 ELMCREST TER, NORWALK, CT 06850-3908
(203) 851-2077
(203) 851-2082
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
SA0174
CT
Other
Enumeration date
12/06/2007
Last updated
12/06/2007
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