Child And Family Agency Of Southeastern Connecticut, INC.
Clinic/Center in Mystic, Connecticut
1306504220- Practice location
- 160 Fishtown RD, Mystic, CT 06355-2012
- Phone
- 860-980-8330
- Fax
- 860-980-8330
- Last updated
- October 7, 2026
Child And Family Agency Of Southeastern Connecticut, INC. is a healthcare organization based in Mystic, 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. The current practice location address for Child And Family Agency Of Southeastern Connecticut, INC. is 160 Fishtown RD, Mystic, CT 06355-2012 and can be reached out via phone at 860-980-8330 and via fax at 860-980-8330.
Provider Profile Details
- NPI Number
- 1306504220
- Provider Name
- Child And Family Agency Of Southeastern Connecticut, INC.
- Provider Entity Type
- Organization
- Address
- 160 Fishtown RD, Mystic, CT 06355-2012
- Phone Number
- 860-980-8330
- Fax Number
- 860-980-8330
- Primary Taxonomy
- Clinic/Center · 261Q00000X
- Organization Subpart
- Yes
- Parent Organization
- Child And Family Agency Of Southeastern Connecticut, INC.
- Authorized Official
- Lisa Baxter · Cfo · 860-443-2896
- Other Names
- Mystic River Magnet School (Doing Business As)
- Provider Enumeration Date
- December 8, 2021
- Last Update Date
- October 7, 2026
- Certification Date
- October 7, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 160 Fishtown RD
Mystic, CT 06355-2012 - City
- Mystic
- State
- Connecticut
- Zip
- 06355-2012
- Phone Number
- 860-980-8330
- Fax Number
- 860-980-8330
Provider Business Mailing Address Details
- Address
- 255 Hempstead St
New London, CT 06320-6290 - City
- New London
- State
- CT
- Zip
- 06320-6290
- Phone Number
- 860-443-2896
- Fax Number
- 860-442-5909
License Information
- Taxonomy (1)
- Clinic/Center · 261Q00000X · Primary
- Taxonomy (2)
- Clinical Medical Laboratory · 291U00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Clinic/Centers near Mystic, CT
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Frequently Asked Questions
What is the NPI number of Child And Family Agency Of Southeastern Connecticut, INC.?
The NPI number of Child And Family Agency Of Southeastern Connecticut, INC. is 1306504220. It was assigned on December 8, 2021 and is currently active in the NPPES registry.
What is the specialty of Child And Family Agency Of Southeastern Connecticut, INC.?
Child And Family Agency Of Southeastern Connecticut, INC. is registered under the primary taxonomy Clinic/Center (code 261Q00000X).
Where does Child And Family Agency Of Southeastern Connecticut, INC. practice?
The practice location is 160 Fishtown RD, Mystic, CT 06355-2012. The office can be reached at 860-980-8330 (phone) or 860-980-8330 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306504220 directly on the NPPES registry website.