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Contact Information

GROWING POTENTIAL SERVICES:THERAPEUTIC AND BEHAVIORAL SOLUTIONS, PC
25 HIGH ST
ENFIELD, CT06082
 Phone: 606-986-0778
 Fax: 860-698-6631
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for GROWING POTENTIAL SERVICES:THERAPEUTIC AND BEHAVIORAL SOLUTIONS, PC

NPI Number 1336588607
LBN Legal business name GROWING POTENTIAL SERVICES:THERAPEUTIC AND BEHAVIORAL SOLUTIONS, PC
Authorized official MARCY TALICEO - (CLINICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/20/2013
Last updated 06/11/2019 - About 7 years ago
Identifiers
CT License # 2378
MA License # 8146
CT Medicaid 008045179
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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