Organization
PERCEPTION PROGRAMS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAN GERWIEN (CHIEF ADMINISTRATIVE OFFICER)
(860) 450-7122
Entity
Organization
Contact information
Practice address
842 MAIN ST, WILLIMANTIC, CT 06226-2442
(860) 450-7122
(860) 450-7152
Mailing address
842 MAIN ST, WILLIMANTIC, CT 06226-2442
(860) 450-7122
(860) 450-7127
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004121589
—
CT
05
—
004217289
—
CT
Enumeration date
12/01/2006
Last updated
07/26/2023
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