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
141 FRANKLIN ST, STAMFORD, CT 06901-1014
(203) 352-1800
(203) 352-1806
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
SA0172
CT
Other
Enumeration date
11/15/2007
Last updated
11/15/2007
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