Organization
LIBERTY HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LUCIA DEVIVO CATALANO APRN (MANAGER/PARTNER)
(860) 810-2077
Entity
Organization
Contact information
Practice address
18 HART ST, NEW BRITAIN, CT 06052-1702
(860) 357-4112
Mailing address
18 HART ST, NEW BRITAIN, CT 06052-1702
(860) 357-4112
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
E59762
CT
103TC0700X
Clinical Psychologist
Primary
000570
CT
171M00000X
Case Manager/Care Coordinator
001219
CT
Other
Enumeration date
07/12/2012
Last updated
07/12/2012
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