Child And Family Agency Of Southeastern Connecticut, INC.
Clinic/Center, Adolescent and Children Mental Health in New London, Connecticut
1962926576- Practice location
- 36 Waller St, New London, CT 06320-5216
- Phone
- 860-437-6480
- Fax
- 860-701-3772
- Last updated
- June 20, 2019
Child And Family Agency Of Southeastern Connecticut, INC. is a healthcare organization based in New London, CT. Child And Family Agency Of Southeastern Connecticut, INC. practices in New London, CT. The NPI Number for Child And Family Agency Of Southeastern Connecticut, INC. is 1962926576 and holds a License No. 0138 (CT). The current practice location address for Child And Family Agency Of Southeastern Connecticut, INC. is 36 Waller St, New London, CT 06320-5216 and can be reached out via phone at 860-437-6480 and via fax at 860-701-3772.
Provider Profile Details
- NPI Number
- 1962926576
- Provider Name
- Child And Family Agency Of Southeastern Connecticut, INC.
- Provider Entity Type
- Organization
- Address
- 36 Waller St, New London, CT 06320-5216
- Phone Number
- 860-437-6480
- Fax Number
- 860-701-3772
- Primary Taxonomy
- Clinic/Center, Adolescent and Children Mental Health · 261QM0855X
- Organization Subpart
- No
- Authorized Official
- Lisa Baxter · Chief Financial And Admin Officer · 860-443-2896
- Provider Enumeration Date
- July 26, 2017
- Last Update Date
- June 20, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 36 Waller St
New London, CT 06320-5216 - City
- New London
- State
- Connecticut
- Zip
- 06320-5216
- Phone Number
- 860-437-6480
- Fax Number
- 860-701-3772
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
- License Number
- 0138
- License State
- CT
- Taxonomy
- Clinic/Center, Adolescent and Children Mental Health · 261QM0855X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Clinic/Center, Adolescent and Children Mental Health providers near New London, CT
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- Janisha E AthertonCase Manager/Care Coordinator · NPI 1063319119
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- Ms. Victoria G AvesonSurgery · NPI 1972966299
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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 1962926576. It was assigned on July 26, 2017 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, Adolescent and Children Mental Health (code 261QM0855X), licensed in CT under license number 0138.
Where does Child And Family Agency Of Southeastern Connecticut, INC. practice?
The practice location is 36 Waller St, New London, CT 06320-5216. The office can be reached at 860-437-6480 (phone) or 860-701-3772 (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 1962926576 directly on the NPPES registry website.