Family Intervention Center, INC
Clinic/Center in Waterbury, Connecticut
1598764474- Practice location
- 22 Chase River RD, Waterbury, CT 06704-1408
- Phone
- 203-753-2153
- Fax
- 203-756-6032
- Last updated
- October 2, 2023
Family Intervention Center, INC is a healthcare organization based in Waterbury, CT. Family Intervention Center, INC practices in Waterbury, CT. The NPI Number for Family Intervention Center, INC is 1598764474 and holds a License No. 0471 (CT). The current practice location address for Family Intervention Center, INC is 22 Chase River RD, Waterbury, CT 06704-1408 and can be reached out via phone at 203-753-2153 and via fax at 203-756-6032.
Provider Profile Details
- NPI Number
- 1598764474
- Provider Name
- Family Intervention Center, INC
- Provider Entity Type
- Organization
- Address
- 22 Chase River RD, Waterbury, CT 06704-1408
- Phone Number
- 203-753-2153
- Fax Number
- 203-756-6032
- Primary Taxonomy
- Clinic/Center · 261Q00000X
- Organization Subpart
- No
- Authorized Official
- Mr. Joseph E. Futschik, LCSW · President · 203-753-2153
- Provider Enumeration Date
- July 21, 2005
- Last Update Date
- October 2, 2023
- Certification Date
- October 2, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 22 Chase River RD
Waterbury, CT 06704-1408 - City
- Waterbury
- State
- Connecticut
- Zip
- 06704-1408
- Phone Number
- 203-753-2153
- Fax Number
- 203-756-6032
Provider Business Mailing Address Details
- Address
- 22 Chase River RD
Waterbury, CT 06704-1408 - City
- Waterbury
- State
- CT
- Zip
- 06704-1408
- Phone Number
- 203-753-2153
- Fax Number
- 203-756-6032
License Information
- License Number (1)
- 0471
- License State (1)
- CT
- Taxonomy (1)
- Clinic/Center, Adult Mental Health · 261QM0850X
- License Number (2)
- 0390
- License State (2)
- CT
- Taxonomy (2)
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- License Number (3)
- 0390
- License State (3)
- CT
- Taxonomy (3)
- 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 Family Intervention Center, INC?
The NPI number of Family Intervention Center, INC is 1598764474. It was assigned on July 21, 2005 and is currently active in the NPPES registry.
What is the specialty of Family Intervention Center, INC?
Family Intervention Center, INC is registered under the primary taxonomy Clinic/Center (code 261Q00000X), licensed in CT under license number 0471.
Where does Family Intervention Center, INC practice?
The practice location is 22 Chase River RD, Waterbury, CT 06704-1408. The office can be reached at 203-753-2153 (phone) or 203-756-6032 (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 1598764474 directly on the NPPES registry website.