Organization
STEPHANIE GARCIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE SANTIAGO (INSURANCE SPECIALIST)
(203) 278-9131
Entity
Organization
Contact information
Practice address
666 GLENBROOK RD, STAMFORD, CT 06906-1439
(475) 422-2878
Mailing address
291 ELLSWORTH ST APT 1D, BRIDGEPORT, CT 06605-3130
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
3051
CT
Other
Enumeration date
11/15/2017
Last updated
11/15/2017
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