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Child And Family Agency Of Southeastern Connecticut, Inc.
Clinic/Center in Mystic, Connecticut
NPI 1306504220

Child And Family Agency Of Southeastern Connecticut, Inc. is a Clinic/Center based in New London, CT. Child And Family Agency Of Southeastern Connecticut, Inc. practices in Mystic, CT. The NPI Number for Child And Family Agency Of Southeastern Connecticut, Inc. is 1306504220 and holds a License No. (Connecticut).

The current practice location address for Child And Family Agency Of Southeastern Connecticut, Inc. is 160 Fishtown Rd, Mystic, CT and can be reached out via phone at 860-980-8330 and via fax at 860-980-8330.

Location: 160 Fishtown Rd, Mystic, CT, 06320-6290
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306504220
Provider Name
Child And Family Agency Of Southeastern Connecticut, Inc.
Credential
Provider Entity Type
Organization
Address
160 Fishtown Rd, Mystic, CT, 06320-6290
Phone Number
860-980-8330
Fax Number
860-980-8330
Provider Enumeration Date
12/08/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1137 01 CT DPH
institution
Provider Business Practice Location Address Details
Address
160 Fishtown Rd
City
Mystic
State
Connecticut
Zip
06355-2012
Phone Number
860-980-8330
Fax Number
860-980-8330
person
Provider Business Mailing Address Details
Address
160 Fishtown Rd
City
Mystic
State
Connecticut
Zip
06355-2012
Phone Number
860-980-8330
Fax Number
860-980-8330
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
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Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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