Child And Family Agency Of Southeastern Connecticut, INC.
Clinic/Center in Mystic, Connecticut
1467097667- Practice location
- 204 Mistuxet Ave, Mystic, CT 06355-3009
- Phone
- 860-536-8613
- Fax
- —
- Last updated
- November 12, 2019
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 1467097667. The current practice location address for Child And Family Agency Of Southeastern Connecticut, INC. is 204 Mistuxet Ave, Mystic, CT 06355-3009 and can be reached out via phone at 860-536-8613.
Provider Profile Details
- NPI Number
- 1467097667
- Provider Name
- Child And Family Agency Of Southeastern Connecticut, INC.
- Provider Entity Type
- Organization
- Address
- 204 Mistuxet Ave, Mystic, CT 06355-3009
- Phone Number
- 860-536-8613
- Primary Taxonomy
- Clinic/Center · 261Q00000X
- Organization Subpart
- No
- Authorized Official
- Lisa Baxter · Cfao · 860-443-2896
- Other Names
- Stonington Middle School Based Health Center (Other Name)
- Provider Enumeration Date
- November 12, 2019
- Last Update Date
- November 12, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 204 Mistuxet Ave
Mystic, CT 06355-3009 - City
- Mystic
- State
- Connecticut
- Zip
- 06355-3009
- Phone Number
- 860-536-8613
Provider Business Mailing Address Details
- Address
- 255 Hempstead St
New London, CT 06320-6204 - City
- New London
- State
- CT
- Zip
- 06320-6204
- Phone Number
- 860-443-2896
- Fax Number
- 860-442-5909
License Information
- Taxonomy
- Clinic/Center · 261Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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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 1467097667. It was assigned on November 12, 2019 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 204 Mistuxet Ave, Mystic, CT 06355-3009. The office can be reached at 860-536-8613 (phone).
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 1467097667 directly on the NPPES registry website.