| Child And Family Agency Of Southeastern Connecticut, Inc. | |
|
7 Vauxhall St New London CT 06320-5711 | |
| (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 | 7 Vauxhall St, New London, 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. Po Box 120 New London CT 06320-0120 Ph: (860) 437-4550 | Child And Family Agency Of Southeastern Connecticut, Inc. 7 Vauxhall St New London CT 06320-5711 Ph: (860) 437-4550 |
| NPI Number | 1093762114 |
|---|---|
| Provider Enumeration Date | 05/27/2006 |
| Last Update Date | 01/03/2023 |
| Certification Date | 01/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093762114 | NPI | - | NPPES |
| 004083309 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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