MASONICARE BEHAVIORAL HEALTH, LLC

WALLINGFORD, CT
NPI1992781488
Entity TypeOrganization
Authorized ContactJOHN TIBBETTS
Authorized Official
203-265-5720
Organization Subpart ?Yes
Primary Taxonomy2084P0805X 
Enumeration Date2005-12-16
Last Update Date2014-06-06
Business Address
MASONICARE BEHAVIORAL HEALTH, LLC
67 MASONIC AVE 1ST FLOOR
WALLINGFORD, CT 06492-3095
Phone number: 203-265-5720
Mailing Address
MASONICARE BEHAVIORAL HEALTH, LLC
67 MASONIC AVE 1ST FLOOR
WALLINGFORD, CT 06492-3095
Phone number: 203-265-5720
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