| Child And Family Agency Of Southeastern Connecticut, Inc. | |
|
4 Grove Beach Rd N Ste 2d Westbrook CT 06498-1656 | |
| (860) 437-4550 | |
| Not Available |
| Full Name | Child And Family Agency Of Southeastern Connecticut, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4 Grove Beach Rd N Ste 2d, Westbrook, Connecticut |
| Authorized Official Name and Position | Lisa Baxter (CHIEF FINANCIAL AND ADMIN OFFICER) |
| Authorized Official Contact | 8604432896 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Child And Family Agency Of Southeastern Connecticut, Inc. 255 Hempstead St New London CT 06320-6204 Ph: (860) 443-2896 | Child And Family Agency Of Southeastern Connecticut, Inc. 4 Grove Beach Rd N Ste 2d Westbrook CT 06498-1656 Ph: (860) 437-4550 |
| NPI Number | 1508907288 |
|---|---|
| Provider Enumeration Date | 02/08/2007 |
| Last Update Date | 08/23/2022 |
| Certification Date | 08/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508907288 | NPI | - | NPPES |
| 007228738 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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