| Community Residences Inc. | |
|
205 Kelsey St Unit 12 Newington CT 06111-5436 | |
| (860) 878-6858 | |
| (860) 665-9679 |
| Full Name | Community Residences Inc. |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 205 Kelsey St, Newington, Connecticut |
| Authorized Official Name and Position | Amy Maguda (COMMUNITY BASED SVCS COORDINATOR) |
| Authorized Official Contact | 8608786858 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Residences Inc. 732 West St Southington CT 06489-2329 Ph: (860) 621-7600 | Community Residences Inc. 205 Kelsey St Unit 12 Newington CT 06111-5436 Ph: (860) 878-6858 |
| NPI Number | 1063782662 |
|---|---|
| Provider Enumeration Date | 01/12/2012 |
| Last Update Date | 02/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063782662 | NPI | - | NPPES |
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