Healthcare Provider Details

I. General information

NPI: 1750148870
Provider Name (Legal Business Name): THE ROWAN CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2024
Last Update Date: 03/05/2024
Certification Date: 03/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 SUMMER ST STE 202
STAMFORD CT
06905-5508
US

IV. Provider business mailing address

1111 SUMMER ST STE 202
STAMFORD CT
06905-5508
US

V. Phone/Fax

Practice location:
  • Phone: 203-487-0675
  • Fax:
Mailing address:
  • Phone: 203-487-0675
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LUKE ROBBINS
Title or Position: CLINICAL DIRECTOR
Credential: LCSW
Phone: 203-487-0675