Dickerson Enterprise LLC
NPI #1669993663 in Manchester, Connecticut
Provider Information
- NPI Number
- 1669993663
- Entity Type
- Organization
- Organization Name
- Dickerson Enterprise LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jun 29, 2017
- Last Updated
- Sep 2, 2025
Practice Location
- Address
- 872 VERNON ST
- City
- Manchester
- State
- Connecticut
- ZIP Code
- 06042-2415
- Phone
- (860) 416-3500
Authorized Official
- Name
- JOSEPH LEE DICKERSON
- Title
- OWNER
- Phone
- (860) 416-3500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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