Liberation Programs Inc, NPI 1316067481
Adult Mental Health Clinic/Center in Bridgeport, CT, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1316067481 |
| NPI Entity Type | Organization |
| Provider Name |
Liberation Programs Inc
Former Legal Business Name |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 399 Mill Hill Ave, Bridgeport, CT, US |
| Provider Mailing Address | 4 Elmcrest Ter, Norwalk, CT, US, 068503908 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MR. Alan Mathis |
| Official Position | CHIEF EXECUTIVE OFFICER |
| Phone | 203-851-2077 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Adult Mental Health Clinic/Center |
| Classification | |
| Group | |
| License No. | 0290 |
| License State | CT |
| Description | An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 0290 | CT | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 004191962 | CT | MEDICAID | 05 |
| 004251500 | CT | MEDICAID | 05 |
| 004238764 | CT | MEDICAID | 05 |
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