| Child Guidance Center Of Mid-fairfield Center | |
|
100 East Ave Norwalk CT 06851-5010 | |
| (203) 299-1315 | |
| Not Available |
| Full Name | Child Guidance Center Of Mid-fairfield Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 100 East Ave, Norwalk, Connecticut |
| Authorized Official Name and Position | Stuart Greenbaum (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2032991315 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Child Guidance Center Of Mid-fairfield Center 100 East Ave Norwalk CT 06851-5010 Ph: () - | Child Guidance Center Of Mid-fairfield Center 100 East Ave Norwalk CT 06851-5010 Ph: (203) 299-1315 |
| NPI Number | 1376757872 |
|---|---|
| Provider Enumeration Date | 05/10/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376757872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | OPCC-3 (Connecticut) | Primary |
| 251S00000X | Community/behavioral Health | EDT-14 (Connecticut) | Secondary |
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