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Contact Information

LIBERATION PROGRAMS INC
120 BROOKSIDE ROAD
DARIEN, CT06820
 Phone: 203-655-8973
 Fax: 203-655-2389
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent and Children Mental Health

261QM0855X
Indicates primary specialty

NPI Profile & details for LIBERATION PROGRAMS INC

NPI Number 1174644652
LBN Legal business name LIBERATION PROGRAMS INC
Authorized official ALAN MATHIS - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/03/2007
Last updated 06/27/2008 - About 18 years ago
Identifiers
CT License # 0271
CT Medicaid 004259025
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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