Organization
MIDWESTERN CONNECTICUT COUNSEL ON ALCOHOLISM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JO MCBRIDE-BEECE LMFT, LADC (DIRECTOR OF OUT PATIENT SERVICES)
(203) 792-4515
Entity
Organization
Contact information
Practice address
38 OLD RIDGEBURY RD, DANBURY, CT 06810-5128
(203) 792-4515
Mailing address
38 OLD RIDGEBURY RD, DANBURY, CT 06810-5128
(203) 792-4515
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CAC 4070
CT
Other
Enumeration date
09/18/2007
Last updated
09/18/2007
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