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Community Child Guidance Clinic, Inc.
Adolescent and Children Mental Health Clinic/Center in Manchester, Connecticut
NPI 1780730267

Community Child Guidance Clinic, Inc. is an Adolescent and Children Mental Health Clinic/Center based in Manchester, CT and is specialized in Adolescent and Children Mental Health. Community Child Guidance Clinic, Inc. practices in Manchester, CT. The NPI Number for Community Child Guidance Clinic, Inc. is 1780730267 and holds a License No. 0238 (Connecticut).

The current practice location address for Community Child Guidance Clinic, Inc. is 317 N Main St, Manchester, CT and can be reached out via phone at 860-643-2101 and via fax at 860-645-1470.

Location: 317 N Main St, Manchester, CT, 06042-2007
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1780730267
Provider Name
Community Child Guidance Clinic, Inc.
Credential
Provider Entity Type
Organization
Address
317 N Main St, Manchester, CT, 06042-2007
Phone Number
860-643-2101
Fax Number
860-645-1470
Provider Enumeration Date
01/26/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
004039277 05 CT
institution
Provider Business Practice Location Address Details
Address
317 N Main St
City
Manchester
State
Connecticut
Zip
06042-2007
Phone Number
860-643-2101
Fax Number
860-645-1470
person
Provider Business Mailing Address Details
Address
317 N Main St
City
Manchester
State
Connecticut
Zip
06042-2007
Phone Number
860-643-2101
Fax Number
860-645-1470
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
OPCC-14 (Connecticut)
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).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
0238 (Connecticut)
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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