| Community Guidance Clinic For Central Ct, Inc. | |
|
384 Pratt St Meriden CT 06450 | |
| (203) 235-5767 | |
| (203) 238-2010 |
| Full Name | Community Guidance Clinic For Central Ct, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 384 Pratt St, Meriden, Connecticut |
| Authorized Official Name and Position | Wanda Rodriguez (RECEIVABLES AND BILLING SPECAILIST) |
| Authorized Official Contact | 2032355767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Guidance Clinic For Central Ct, Inc. 384 Pratt St Meriden CT 06450 Ph: (203) 235-5767 | Community Guidance Clinic For Central Ct, Inc. 384 Pratt St Meriden CT 06450 Ph: (203) 235-5767 |
| NPI Number | 1467500090 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 01/09/2024 |
| Certification Date | 01/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467500090 | NPI | - | NPPES |
| 004039210 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (Connecticut) | Primary |
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