Mccall Foundation Inc. | |
469 Migeon Avenue Torrington CT 06790-5106 | |
(860) 496-2100 | |
(860) 496-2111 |
Full Name | Mccall Foundation Inc. |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 469 Migeon Avenue, Torrington, Connecticut |
Authorized Official Name and Position | Maria Coutant Skinner (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 8604962100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mccall Foundation Inc. 58 High St Torrington CT 06790-5106 Ph: (860) 496-2100 | Mccall Foundation Inc. 469 Migeon Avenue Torrington CT 06790-5106 Ph: (860) 496-2100 |
NPI Number | 1073992095 |
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Provider Enumeration Date | 05/22/2015 |
Last Update Date | 10/27/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073992095 | NPI | - | NPPES |
004159556 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 0489 (Connecticut) | Primary |
Mccall Foundation, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 58 High St, Torrington, CT 06790 Phone: 860-496-2100 Fax: 860-496-2111 | |
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