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Child And Family Agency Of Southeastern Connecticut, Inc.
Clinic/Center in Mystic, Connecticut
NPI 1467097667

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 1467097667 and holds a License No. (Connecticut).

The current practice location address for Child And Family Agency Of Southeastern Connecticut, Inc. is 204 Mistuxet Ave, Mystic, CT and can be reached out via phone at 860-536-8613.

Location: 204 Mistuxet Ave, Mystic, CT, 06320-6204
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1467097667
Provider Name
Child And Family Agency Of Southeastern Connecticut, Inc.
Credential
Provider Entity Type
Organization
Address
204 Mistuxet Ave, Mystic, CT, 06320-6204
Phone Number
860-536-8613
Fax Number
Provider Enumeration Date
11/12/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1065 01 CT SCHOOL BASED HEALTH CENTER
institution
Provider Business Practice Location Address Details
Address
204 Mistuxet Ave
City
Mystic
State
Connecticut
Zip
06355-3009
Phone Number
860-536-8613
Fax Number
person
Provider Business Mailing Address Details
Address
204 Mistuxet Ave
City
Mystic
State
Connecticut
Zip
06355-3009
Phone Number
860-536-8613
Fax Number
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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