| Connecticut Children And Family Center | |
|
230 Ashmun St New Haven CT 06511-3574 | |
| (203) 772-4228 | |
| (203) 776-1982 |
| Full Name | Connecticut Children And Family Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 230 Ashmun St, New Haven, Connecticut |
| Authorized Official Name and Position | Larry Conaway (CEO) |
| Authorized Official Contact | 2037724228 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Connecticut Children And Family Center 230 Ashmun St New Haven CT 06511-3574 Ph: (203) 772-4228 | Connecticut Children And Family Center 230 Ashmun St New Haven CT 06511-3574 Ph: (203) 772-4228 |
| NPI Number | 1902059736 |
|---|---|
| Provider Enumeration Date | 10/24/2008 |
| Last Update Date | 10/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902059736 | NPI | - | NPPES |
| 004257235 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 005736 (Connecticut) | Primary |
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