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Marc Bonaguide Llc
Adolescent and Children Mental Health Clinic/Center in Canton, Connecticut
NPI 1487176145

Marc Bonaguide Llc is an Adolescent and Children Mental Health Clinic/Center based in Weatogue, CT and is specialized in Adolescent and Children Mental Health. Marc Bonaguide Llc practices in Canton, CT. The NPI Number for Marc Bonaguide Llc is 1487176145 and holds a License No. (Connecticut).

The current practice location address for Marc Bonaguide Llc is 50 Albany Tpke, Canton, CT and can be reached out via phone at 860-951-1240.

Location: 50 Albany Tpke, Canton, CT, 06089-9755
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1487176145
Provider Name
Marc Bonaguide Llc
Credential
Provider Entity Type
Organization
Address
50 Albany Tpke, Canton, CT, 06089-9755
Phone Number
860-951-1240
Fax Number
Provider Enumeration Date
07/13/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
50 Albany Tpke
City
Canton
State
Connecticut
Zip
06019-2516
Phone Number
860-951-1240
Fax Number
person
Provider Business Mailing Address Details
Address
50 Albany Tpke
City
Canton
State
Connecticut
Zip
06019-2516
Phone Number
860-951-1240
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
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Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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