| Ct- Family Care Services, Llc | |
|
155 Maple St Unit 207-208 Springfield MA 01105-2649 | |
| (413) 285-8722 | |
| (413) 285-8642 |
| Full Name | Ct- Family Care Services, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 155 Maple St, Springfield, Massachusetts |
| Authorized Official Name and Position | Justinian B Rweyemamu (PRESIDENT & CEO) |
| Authorized Official Contact | 8605088651 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ct- Family Care Services, Llc 155 Maple St Unit 207-208 Springfield MA 01105-2649 Ph: (413) 285-8722 | Ct- Family Care Services, Llc 155 Maple St Unit 207-208 Springfield MA 01105-2649 Ph: (413) 285-8722 |
| NPI Number | 1174868442 |
|---|---|
| Provider Enumeration Date | 11/28/2012 |
| Last Update Date | 01/16/2024 |
| Certification Date | 01/16/2024 |
| Medicare PECOS PAC ID | 3173765740 |
|---|---|
| Medicare Enrollment ID | O20130809000656 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174868442 | NPI | - | NPPES |
| Provider Name | Emad H Eskander |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073594594 PECOS PAC ID: 5991775165 Enrollment ID: I20040727000933 |
| Provider Name | Robert G Madden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649793910 PECOS PAC ID: 7315275534 Enrollment ID: I20190827001188 |
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