| Child And Family Agency Of Southeastern Connecticut, Inc. | |
|
36 Waller St New London CT 06320-5216 | |
| (860) 437-6480 | |
| (860) 701-3772 |
| Full Name | Child And Family Agency Of Southeastern Connecticut, Inc. |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 36 Waller 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. 255 Hempstead St New London CT 06320-6204 Ph: (860) 443-2896 | Child And Family Agency Of Southeastern Connecticut, Inc. 36 Waller St New London CT 06320-5216 Ph: (860) 437-6480 |
| NPI Number | 1962926576 |
|---|---|
| Provider Enumeration Date | 07/26/2017 |
| Last Update Date | 06/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962926576 | NPI | - | NPPES |
| 0138 | Other | CT | DPH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 0138 (Connecticut) | Primary |
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